Provider Demographics
NPI:1801094321
Name:ARNOLD SNETIKER DDS PC
Entity type:Organization
Organization Name:ARNOLD SNETIKER DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:SNETIKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:631-698-1944
Mailing Address - Street 1:394 MOONEY POND RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11738-1436
Mailing Address - Country:US
Mailing Address - Phone:631-698-1944
Mailing Address - Fax:631-698-1682
Practice Address - Street 1:394 MOONEY POND RD
Practice Address - Street 2:
Practice Address - City:FARMINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:11738-1436
Practice Address - Country:US
Practice Address - Phone:631-698-1944
Practice Address - Fax:631-698-1682
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARNOLD SNETIKER DDS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-05
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty