Provider Demographics
NPI:1750921227
Name:SNIKERIS FAMILY DENTISTRY
Entity type:Organization
Organization Name:SNIKERIS FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:CLIFT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:281-298-0999
Mailing Address - Street 1:6704 STERLING RIDGE DR STE G
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-2329
Mailing Address - Country:US
Mailing Address - Phone:281-298-0999
Mailing Address - Fax:281-298-8809
Practice Address - Street 1:6704 STERLING RIDGE DR STE G
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-2329
Practice Address - Country:US
Practice Address - Phone:281-298-0999
Practice Address - Fax:281-298-8809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty