Provider Demographics
NPI:1598473704
Name:CAPSTONE DENTAL DOWNTOWN, DR MATTHEW SNIPES, LLC
Entity Type:Organization
Organization Name:CAPSTONE DENTAL DOWNTOWN, DR MATTHEW SNIPES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:SNIPES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-223-1000
Mailing Address - Street 1:10 N HIGH ST STE 403
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-3497
Mailing Address - Country:US
Mailing Address - Phone:614-223-1000
Mailing Address - Fax:
Practice Address - Street 1:10 N HIGH ST STE 403
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-3497
Practice Address - Country:US
Practice Address - Phone:614-223-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center