Provider Demographics
NPI:1518033372
Name:SHERI L. SNIDER D.D.S., P.C.
Entity Type:Organization
Organization Name:SHERI L. SNIDER D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SNIDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-671-2273
Mailing Address - Street 1:254 WEST RD
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48183-2916
Mailing Address - Country:US
Mailing Address - Phone:734-671-2273
Mailing Address - Fax:734-671-0649
Practice Address - Street 1:254 WEST RD
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-2916
Practice Address - Country:US
Practice Address - Phone:734-671-2273
Practice Address - Fax:734-671-0649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010163891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty