Provider Demographics
NPI:1346388907
Name:SNYDER, ALAN FRANCIS (DDS)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:FRANCIS
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 1:310 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-1101
Mailing Address - Country:US
Mailing Address - Phone:812-882-4742
Mailing Address - Fax:812-882-4688
Practice Address - Street 1:310 CHURCH ST
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-1101
Practice Address - Country:US
Practice Address - Phone:812-882-4742
Practice Address - Fax:812-882-4688
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12007413A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice