Provider Demographics
NPI:1912277138
Name:THE SNEVEL DENTAL GROUP LTD
Entity Type:Organization
Organization Name:THE SNEVEL DENTAL GROUP LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:JOHNE
Authorized Official - Last Name:SNEVEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-946-9701
Mailing Address - Street 1:35040 CHARDON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44094-9004
Mailing Address - Country:US
Mailing Address - Phone:440-946-9701
Mailing Address - Fax:440-946-9953
Practice Address - Street 1:35040 CHARDON RD STE 201
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44094-9004
Practice Address - Country:US
Practice Address - Phone:440-946-9701
Practice Address - Fax:440-946-9953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0234951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty