Provider Demographics
NPI:1588547889
Name:SNAP DENTAL INC
Entity type:Organization
Organization Name:SNAP DENTAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST (OWNER)
Authorized Official - Prefix:
Authorized Official - First Name:NASER
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELSALAM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:773-908-9074
Mailing Address - Street 1:7508 CLARIDGE DR UNIT D
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60455-2038
Mailing Address - Country:US
Mailing Address - Phone:773-908-9074
Mailing Address - Fax:
Practice Address - Street 1:850 W 63RD ST # L6B
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60621-1902
Practice Address - Country:US
Practice Address - Phone:773-908-9074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-26
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental