Organization
ERIC L. SNYDER DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC L. SNYDER DDS (OWNER)
(304) 636-6306
Entity
Organization
Contact information
Practice address
296 CHENOWETH CREEK ROAD, ROUTE 1, ELKINS, WV 26241
(304) 636-6306
Mailing address
RT 1 BOX 296, ELKINS, WV 26241
(304) 636-6306
(304) 636-6376
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3210
WV
122300000X
Dentist
3768
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134156000
—
WV
Enumeration date
02/24/2010
Last updated
02/24/2010
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