Healthcare Provider Details

I. General information

NPI: 1831650209
Provider Name (Legal Business Name): SNYDER & WINKS DDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2019
Last Update Date: 03/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26300 EUCLID AVE STE 520
EUCLID OH
44132-2752
US

IV. Provider business mailing address

26300 EUCLID AVE STE 520
EUCLID OH
44132-2752
US

V. Phone/Fax

Practice location:
  • Phone: 216-261-2580
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RYAN WINKS
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 616-970-1503