Individual
JOHN DOUGLAS SNOWDEN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1507 B HERITAGE LANE, FLORENCE, SC 29505
(843) 662-7095
(843) 662-7507
Mailing address
1507 B HERITAGE LANE, FLORENCE, SC 29505
(843) 662-7095
(843) 662-7507
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2463327
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9777
—
SC
05
—
ZX2463
—
SC
Enumeration date
08/03/2006
Last updated
07/09/2007
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