Healthcare Provider Details

I. General information

NPI: 1063479988
Provider Name (Legal Business Name): RICHARD M SNYDER D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9104 BABCOCK BLVD SUITE 6111
PITTSBURGH PA
15237-5818
US

IV. Provider business mailing address

9104 BABCOCK BLVD SUITE 6111
PITTSBURGH PA
15237-5818
US

V. Phone/Fax

Practice location:
  • Phone: 412-366-2090
  • Fax:
Mailing address:
  • Phone: 412-366-2090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDS018965L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberDA018965A
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: