Provider Demographics
NPI:1891304648
Name:SNYDER, RITA SEDDEIK (DMD)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:SEDDEIK
Last Name:SNYDER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10225 ULMERTON RD STE 4C
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-3520
Mailing Address - Country:US
Mailing Address - Phone:727-585-6658
Mailing Address - Fax:
Practice Address - Street 1:10225 ULMERTON RD STE 4C
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-3520
Practice Address - Country:US
Practice Address - Phone:727-585-6658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-28
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25291122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist