Provider Demographics
NPI:1669539730
Name:SNUGGS, JOHN LEON JR (DMD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:LEON
Last Name:SNUGGS
Suffix:JR
Gender:M
Credentials:DMD
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Mailing Address - Street 1:3809 WHITES FERRY RD
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-2006
Mailing Address - Country:US
Mailing Address - Phone:318-396-6204
Mailing Address - Fax:318-396-9625
Practice Address - Street 1:3809 WHITES FERRY RD
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-2006
Practice Address - Country:US
Practice Address - Phone:318-396-6204
Practice Address - Fax:318-396-9625
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA49251223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry