Provider Demographics
NPI:1427318385
Name:BETH L. SNYDER, DMD, PC
Entity type:Organization
Organization Name:BETH L. SNYDER, DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:BETH
Authorized Official - Middle Name:LYNDA
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-348-9922
Mailing Address - Street 1:252 W SWAMP RD STE 25
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2466
Mailing Address - Country:US
Mailing Address - Phone:215-348-9922
Mailing Address - Fax:
Practice Address - Street 1:252 W SWAMP RD STE 25
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2466
Practice Address - Country:US
Practice Address - Phone:215-348-9922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-24
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024892L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty