Healthcare Provider Details

I. General information

NPI: 1619289105
Provider Name (Legal Business Name): DEANNA HELAINE SNITZER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2010
Last Update Date: 04/21/2023
Certification Date: 04/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 E ROMIE LN
SALINAS CA
93901-3158
US

IV. Provider business mailing address

23 SECA PL
SALINAS CA
93908-8938
US

V. Phone/Fax

Practice location:
  • Phone: 303-779-8587
  • Fax:
Mailing address:
  • Phone: 720-369-9323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number2010016145
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number10515
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number6218
License Number StateOK
# 4
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number108080
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: