Healthcare Provider Details

I. General information

NPI: 1164646212
Provider Name (Legal Business Name): ALAN JAMES SNYDER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 W WALNUT ST
LANCASTER PA
17603-3496
US

IV. Provider business mailing address

429 W WALNUT ST
LANCASTER PA
17603-3496
US

V. Phone/Fax

Practice location:
  • Phone: 717-393-4501
  • Fax: 717-393-7371
Mailing address:
  • Phone: 717-393-4501
  • Fax: 717-393-7371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS027398L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: