Provider Demographics
NPI:1487686770
Name:SNYDER, HAROLD (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:
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 1:130 THOMAS JOHNSON DR
Mailing Address - Street 2:SUITE 6
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4419
Mailing Address - Country:US
Mailing Address - Phone:301-620-1692
Mailing Address - Fax:301-620-1444
Practice Address - Street 1:130 THOMAS JOHNSON DR
Practice Address - Street 2:SUITE 6
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4419
Practice Address - Country:US
Practice Address - Phone:301-620-1692
Practice Address - Fax:301-620-1444
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401006367122300000X
MD139521223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist