Provider Demographics
NPI:1467548768
Name:SNEAD, DANIEL BRYAN
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:BRYAN
Last Name:SNEAD
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:D
Other - Middle Name:B
Other - Last Name:SNEAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD PA
Mailing Address - Street 1:1350 THOMASWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308
Mailing Address - Country:US
Mailing Address - Phone:850-385-8101
Mailing Address - Fax:850-385-1146
Practice Address - Street 1:1350 THOMASWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308
Practice Address - Country:US
Practice Address - Phone:850-385-8101
Practice Address - Fax:850-385-1146
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN50491223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics