Provider Demographics
NPI:1558349647
Name:SNIDERMAN, RONALD P (DMD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:P
Last Name:SNIDERMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 PONTIAC AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-4455
Mailing Address - Country:US
Mailing Address - Phone:401-464-4540
Mailing Address - Fax:401-464-4870
Practice Address - Street 1:1220 PONTIAC AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-4455
Practice Address - Country:US
Practice Address - Phone:401-464-4540
Practice Address - Fax:401-464-4870
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI2098122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI2098OtherDELTA DENTAL
RI85221OtherBC DENTAL