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General NPI Number Information
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NPI Number | 1073502886
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Entity Type | Organization
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Legal Business Name | RICHARD D. SNITZER, D.M.D., P.C.
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 508 N KIRKWOOD RD
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City | KIRKWOOD
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State | MO
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Zip | 63122-3914
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Country | US
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Telephone | 314-965-8283
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Fax | 314-965-9105
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Provider Business Mailing Address
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Address Line | 508 N KIRKWOOD RD
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City | KIRKWOOD
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State | MO
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Zip | 63122-3914
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Country | US
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Telephone | 314-965-8283
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Fax | 314-965-9105
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Authorized Official
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Title or Position | DENTIST
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Name | DR. RICHARD D. SNITZER
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Credential | D.M.D.
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Telephone | 314-965-8283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | MO014727
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License Number State | MO
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