=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891511374
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MELANIE M SNYDER DMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/29/2024
-----------------------------------------------------
Last Update Date | 08/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 21 W CLARKE AVE STE 1001
-----------------------------------------------------
City | MILFORD
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19963-1849
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-855-1233
-----------------------------------------------------
Fax | 302-855-2025
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 21444 CARMEAN WAY
-----------------------------------------------------
City | GEORGETOWN
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19947-4572
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-855-1233
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223D0001X
-----------------------------------------------------
Taxonomy Name | Public Health Dentistry
-----------------------------------------------------
License Number | G8-CH00019
-----------------------------------------------------
License Number State | DE
-----------------------------------------------------