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NPI Code Detail

MEDICARE: DR. MOSE VINCENT SNYDER D.M.D.

MEDICARE: DR. MOSE VINCENT SNYDER D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry016.0113672VT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558788786
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOSE VINCENT SNYDER D.M.D.
Provider Business Mailing Address
First Line : 55 BUELL ST
Second Line : APARTMENT 3
City : BURLINGTON
State : VT
Zip : 05401-3807
Country : US
Telephone Number : 802-777-7686
Fax Number :
Provider Business Practice Location Address
First Line : 26 CANADA ST
Second Line :
City : SWANTON
State : VT
Zip : 05488-1335
Country : US
Telephone Number : 802-868-2454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2014
Last Update Date : 05/15/2016

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