Healthcare Provider Details

I. General information

NPI: 1891304648
Provider Name (Legal Business Name): RITA SNYDER DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2020
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34669 US HIGHWAY 19 N
PALM HARBOR FL
34684-2152
US

IV. Provider business mailing address

34669 US HIGHWAY 19 N
PALM HARBOR FL
34684-2152
US

V. Phone/Fax

Practice location:
  • Phone: 727-702-6667
  • Fax: 727-502-6667
Mailing address:
  • Phone: 727-702-6667
  • Fax: 727-502-6667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number25291
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: