Provider Demographics
NPI:1093253007
Name:DANIEL J. SNYDER, D.M.D., P.S.
Entity Type:Organization
Organization Name:DANIEL J. SNYDER, D.M.D., P.S.
Other - Org Name:SNYDER FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:509-534-0569
Mailing Address - Street 1:3010 S SOUTHEAST BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-3542
Mailing Address - Country:US
Mailing Address - Phone:509-534-0569
Mailing Address - Fax:
Practice Address - Street 1:3010 S SOUTHEAST BLVD STE E
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-3542
Practice Address - Country:US
Practice Address - Phone:509-534-0569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE 60722919261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental