Provider Demographics
NPI:1346420718
Name:SNYDER, LAURA (DMD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 JAMES DR
Mailing Address - Street 2:SUITE A-10
Mailing Address - City:LEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:19533-8866
Mailing Address - Country:US
Mailing Address - Phone:610-916-7600
Mailing Address - Fax:610-916-7601
Practice Address - Street 1:1001 JAMES DR
Practice Address - Street 2:SUITE A-10
Practice Address - City:LEESPORT
Practice Address - State:PA
Practice Address - Zip Code:19533-8866
Practice Address - Country:US
Practice Address - Phone:610-916-7600
Practice Address - Fax:610-916-7601
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS037179122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist