Provider Demographics
NPI:1407906068
Name:SNOW AND SNOW, P.C..
Entity Type:Organization
Organization Name:SNOW AND SNOW, P.C..
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SNOW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:724-652-7308
Mailing Address - Street 1:215 W ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1947
Mailing Address - Country:US
Mailing Address - Phone:724-652-7308
Mailing Address - Fax:
Practice Address - Street 1:215 W ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1947
Practice Address - Country:US
Practice Address - Phone:724-652-7308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty