Provider Demographics
NPI:1750769931
Name:SNYDER, MELISSA (RDH, BASDH, MED, P)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:RDH, BASDH, MED, P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10729 DINGMAN RD
Mailing Address - Street 2:
Mailing Address - City:GUYS MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:16327-2315
Mailing Address - Country:US
Mailing Address - Phone:814-571-3106
Mailing Address - Fax:
Practice Address - Street 1:10729 DINGMAN RD
Practice Address - Street 2:
Practice Address - City:GUYS MILLS
Practice Address - State:PA
Practice Address - Zip Code:16327-2315
Practice Address - Country:US
Practice Address - Phone:814-571-3106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-08
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADH069736124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist