Provider Demographics
NPI:1982032751
Name:KATHRYN A. SNEED, DMD, MBA, PLLC
Entity Type:Organization
Organization Name:KATHRYN A. SNEED, DMD, MBA, PLLC
Other - Org Name:SNEED DENTAL ARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SNEED
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MBA
Authorized Official - Phone:901-853-2575
Mailing Address - Street 1:780 RIDGE LAKE BLVD STE 201B
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-9426
Mailing Address - Country:US
Mailing Address - Phone:901-683-7315
Mailing Address - Fax:901-683-2398
Practice Address - Street 1:1122 POPLAR VIEW LN N
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-9323
Practice Address - Country:US
Practice Address - Phone:901-853-2575
Practice Address - Fax:901-853-2576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-14
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9610122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN9610OtherDENTAL LICENSE