Healthcare Provider Details

I. General information

NPI: 1225132475
Provider Name (Legal Business Name): THOMAS A SNASHALL DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3113 COLUMBUS ST SUITE A
GROVE CITY OH
43123
US

IV. Provider business mailing address

3113 COLUMBUS ST SUITE A
GROVE CITY OH
43123
US

V. Phone/Fax

Practice location:
  • Phone: 614-875-4668
  • Fax: 614-875-9351
Mailing address:
  • Phone: 614-875-4668
  • Fax: 614-875-9351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number30013762
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: