Provider Demographics
NPI:1790990133
Name:CRAIG L. SNYDER, D.D.S., P.A.
Entity Type:Organization
Organization Name:CRAIG L. SNYDER, D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:L
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-296-3993
Mailing Address - Street 1:300 E JOPPA RD
Mailing Address - Street 2:SUITE 318
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-3020
Mailing Address - Country:US
Mailing Address - Phone:410-296-3993
Mailing Address - Fax:410-296-1112
Practice Address - Street 1:300 E JOPPA RD
Practice Address - Street 2:SUITE 318
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-3020
Practice Address - Country:US
Practice Address - Phone:410-296-3993
Practice Address - Fax:410-296-1112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD87911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty