Provider Demographics
NPI:1689307274
Name:SNIPES, MARQUISE (DMD)
Entity Type:Individual
Prefix:
First Name:MARQUISE
Middle Name:
Last Name:SNIPES
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 1:965 FLORIDA AVE NW APT 409
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-5574
Mailing Address - Country:US
Mailing Address - Phone:803-528-8994
Mailing Address - Fax:
Practice Address - Street 1:965 FLORIDA AVE NW APT 409
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-5574
Practice Address - Country:US
Practice Address - Phone:803-528-8994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program