Provider Demographics
NPI:1558564625
Name:SNYDER, JOHN PATRICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PATRICK
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:PO BOX 97
Mailing Address - Street 2:1010 SIXTH STREET
Mailing Address - City:SAXTON
Mailing Address - State:PA
Mailing Address - Zip Code:16678
Mailing Address - Country:US
Mailing Address - Phone:814-635-2727
Mailing Address - Fax:
Practice Address - Street 1:1010 SIXTH STREET
Practice Address - Street 2:
Practice Address - City:SAXTON
Practice Address - State:PA
Practice Address - Zip Code:16678
Practice Address - Country:US
Practice Address - Phone:814-635-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024748L122300000X
WV2759122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist