MEDICARE: LINDSAY FUQUA SNIDER DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	9382	SC

General Provider Information

NPI Number	:	1821650284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY FUQUA SNIDER DMD

Provider Business Mailing Address
First Line	:	102 DORSEY CT.
Second Line	:
City	:	GREENWOOD
State	:	SC
Zip	:	29649
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1302 SC-72 BUSINESS
Second Line	:
City	:	GREENWOOD
State	:	SC
Zip	:	29649
Country	:	US
Telephone Number	:	864-229-5885
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2019
Last Update Date	:	05/18/2026

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