Individual
DR. ADAM M SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
705 KANSAS ST, BETHALTO, IL 62010-1796
(618) 596-3725
Mailing address
4335 ALAD DR, ALTON, IL 62002-5702
(618) 581-9201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9003
KY
1223G0001X
General Practice Dentistry
019027473
IL
1223P0221X
Pediatric Dentistry
021002548
IL
1223P0221X
Pediatric Dentistry
2008036620
MO
Other
Enumeration date
08/06/2007
Last updated
10/22/2014
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