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General NPI Number Information
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NPI Number | 1245813872
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Entity Type | Individual
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Provider Name | EMILY JO SNODGRASS DDS
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Gender | Female
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Dates
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Enumeration Date | 05/02/2021
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 748 BIELENBERG DR STE 160
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City | WOODBURY
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State | MN
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Zip | 55125-1405
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Country | US
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Telephone | 651-233-2140
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Fax |
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Provider Business Mailing Address
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Address Line | 748 BIELENBERG DR STE 160
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City | WOODBURY
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State | MN
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Zip | 55125-1405
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | D15261
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License Number State | MN
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