Healthcare Provider Details

I. General information

NPI: 1730562141
Provider Name (Legal Business Name): MEGAN MERICA SNARR D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2015
Last Update Date: 07/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

597 WEST 5300 SOUTH
MURRAY UT
84123
US

IV. Provider business mailing address

3741 W 8850 S
WEST JORDAN UT
84088-9720
US

V. Phone/Fax

Practice location:
  • Phone: 801-266-3000
  • Fax:
Mailing address:
  • Phone: 801-859-8656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number9439700-9922
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: