Healthcare Provider Details

I. General information

NPI: 1295848893
Provider Name (Legal Business Name): SNYDER & ANDERSON, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 S 6TH ST
COLUMBUS OH
43215-4607
US

IV. Provider business mailing address

141 S 6TH ST
COLUMBUS OH
43215-4607
US

V. Phone/Fax

Practice location:
  • Phone: 614-224-1942
  • Fax: 614-224-1527
Mailing address:
  • Phone: 614-224-1942
  • Fax: 614-224-1527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: DR. DOUGLAS ROBERT ANDERSON
Title or Position: PRESIDENT
Credential: D.D.S.
Phone: 614-224-1942