Provider Demographics
NPI:1922288653
Name:SNYDER, MICHELLE LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:LYNN
Last Name:SNYDER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7111 WOODMONT AVE
Mailing Address - Street 2:# 407
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6200
Mailing Address - Country:US
Mailing Address - Phone:443-845-3787
Mailing Address - Fax:
Practice Address - Street 1:11500 OLD GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2735
Practice Address - Country:US
Practice Address - Phone:301-984-9646
Practice Address - Fax:301-816-2136
Is Sole Proprietor?:No
Enumeration Date:2007-11-09
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD142541223G0001X
DCDEN10008421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice