Provider Demographics
NPI:1033121793
Name:KEITH D SNITKER DDS PA
Entity Type:Organization
Organization Name:KEITH D SNITKER DDS PA
Other - Org Name:ESTERS FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:D
Authorized Official - Last Name:SNITKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-255-4111
Mailing Address - Street 1:3129 ESTERS RD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062
Mailing Address - Country:US
Mailing Address - Phone:972-255-4111
Mailing Address - Fax:972-255-3679
Practice Address - Street 1:3129 ESTERS RD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062
Practice Address - Country:US
Practice Address - Phone:972-255-4111
Practice Address - Fax:972-255-3679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty