# MAIN LINE DENTAL HEALTH ASSOCIATES

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

## Provider details

- **NPI number:** 1952493009
- **Authorized official:** DR. WILLIAM JEFFERY SNIDER DMD (PRESIDENT OWNER)
- **Authorized official phone:** (610) 642-6965

## Contact information

- **Practice address:** 100 EAST LANCASTER AVENUE, 664 LANKENAU MEDICAL BUILDING EAST, WYNNEWOOD, PA 19096-3450
- **Practice address phone:** (610) 642-6965
- **Practice address fax:** (610) 642-0286
- **Mailing address:** 100 EAST LANCASTER AVENUE, 664 LANKENAU MEDICAL BUILDING EAST, WYNNEWOOD, PA 19096-3450
- **Mailing address phone:** (610) 642-6965
- **Mailing address fax:** (610) 642-0286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS0229251 | PA | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 06/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 887426 | UNITED CONCORDIA | PA |