# DOUGLAS J SNYDER DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336333970
- **Authorized official:** DR. DOUGLAS J SNYDER DDS (PRESIDENT)
- **Authorized official phone:** (574) 293-9495

## Contact information

- **Practice address:** 427 WATERFALL DR, ELKHART, IN 46516-3660
- **Practice address phone:** (574) 293-9495
- **Mailing address:** 427 WATERFALL DR, ELKHART, IN 46516-3660
- **Mailing address phone:** (574) 293-9495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 54000955A | IN | Yes |

## Other

- **Enumeration date:** 08/28/2007
- **Last updated:** 08/28/2007