Provider Demographics
NPI:1770856056
Name:HOCHMAN, SANFORD S (DDS)
Entity Type:Individual
Prefix:DR
First Name:SANFORD
Middle Name:S
Last Name:HOCHMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 792
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORLEANS
Mailing Address - State:MA
Mailing Address - Zip Code:02662-0792
Mailing Address - Country:US
Mailing Address - Phone:508-240-2596
Mailing Address - Fax:508-240-2596
Practice Address - Street 1:6 BOULDER LANE
Practice Address - Street 2:
Practice Address - City:SOUTH ORLEANS
Practice Address - State:MA
Practice Address - Zip Code:02662
Practice Address - Country:US
Practice Address - Phone:508-240-2596
Practice Address - Fax:508-240-2596
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19600122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist