Provider Demographics
NPI:1013113844
Name:SNYDER, NANCY F (DMD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:F
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 1:5641 W STATE ROUTE 12
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-9394
Mailing Address - Country:US
Mailing Address - Phone:419-890-8839
Mailing Address - Fax:419-859-2011
Practice Address - Street 1:7701 HOKE RD
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:OH
Practice Address - Zip Code:45315-9725
Practice Address - Country:US
Practice Address - Phone:937-832-8000
Practice Address - Fax:937-832-8008
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-022548122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2766190Medicaid