Provider Demographics
NPI:1811056245
Name:SNOW, STEVEN L (DDS)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:L
Last Name:SNOW
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 1:931 STATE ROUTE 28
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-4918
Mailing Address - Country:US
Mailing Address - Phone:513-831-8394
Mailing Address - Fax:513-831-8398
Practice Address - Street 1:931 STATE ROUTE 28
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-4918
Practice Address - Country:US
Practice Address - Phone:513-831-8394
Practice Address - Fax:513-831-8398
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0161181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice