# SUSAN E SNYDER DDS, PC

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

## Provider details

- **NPI number:** 1386009785
- **Authorized official:** DR. SUSAN E SNYDER (OWNER)
- **Authorized official phone:** (765) 447-7878

## Contact information

- **Practice address:** 750 PARK EAST BLVD, SUITE 5, LAFAYETTE, IN 47905-0788
- **Practice address phone:** (765) 447-7878
- **Practice address fax:** (765) 449-0665
- **Mailing address:** 750 PARK EAST BLVD, SUITE 5, LAFAYETTE, IN 47905-0788
- **Mailing address phone:** (765) 447-7878
- **Mailing address fax:** (765) 449-0665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12009083 | IN | Yes |

## Other

- **Enumeration date:** 12/30/2015
- **Last updated:** 11/15/2017