Provider Demographics
NPI:1700897865
Name:SNYDER, RONALD K (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:K
Last Name:SNYDER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 GILLMORE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-3382
Mailing Address - Country:US
Mailing Address - Phone:509-946-2258
Mailing Address - Fax:509-946-1211
Practice Address - Street 1:1050 GILLMORE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3382
Practice Address - Country:US
Practice Address - Phone:509-946-2258
Practice Address - Fax:509-946-1211
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5033246Medicaid