Provider Demographics
NPI:1326129149
Name:SNYDER, DAVID SIDNEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SIDNEY
Last Name:SNYDER
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 1:70 PENNINGTON DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-6055
Mailing Address - Country:US
Mailing Address - Phone:843-706-3377
Mailing Address - Fax:843-706-3380
Practice Address - Street 1:70 PENNINGTON DR
Practice Address - Street 2:SUITE 7
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-6055
Practice Address - Country:US
Practice Address - Phone:843-706-3377
Practice Address - Fax:843-706-3381
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC35951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice