Healthcare Provider Details

I. General information

NPI: 1902831027
Provider Name (Legal Business Name): HUGH ANN SNYDER D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 STRAKA TER
OKLAHOMA CITY OK
73139-2544
US

IV. Provider business mailing address

1025 STRAKA TER
OKLAHOMA CITY OK
73139-2544
US

V. Phone/Fax

Practice location:
  • Phone: 405-632-6688
  • Fax: 405-604-0708
Mailing address:
  • Phone: 405-632-6688
  • Fax: 405-604-0708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number1286
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: