Provider Demographics
NPI:1992942742
Name:SNOW, CRAIG (DMD)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:
Last Name:SNOW
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 W ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1947
Mailing Address - Country:US
Mailing Address - Phone:724-652-7308
Mailing Address - Fax:724-654-1713
Practice Address - Street 1:215 W ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1947
Practice Address - Country:US
Practice Address - Phone:724-652-7308
Practice Address - Fax:724-654-1713
Is Sole Proprietor?:No
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA255121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice