Provider Demographics
NPI:1174690689
Name:SNYDER, LARRY (DMD)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:
Last Name:SNYDER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6811 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1150
Mailing Address - Country:US
Mailing Address - Phone:845-876-2628
Mailing Address - Fax:845-876-8724
Practice Address - Street 1:6811 ROUTE 9
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1150
Practice Address - Country:US
Practice Address - Phone:845-876-2628
Practice Address - Fax:845-876-8724
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0360891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice