Snyderman, David Mark
Snyderman, David Mark is an individual health care provider with primary practice located at 21 Montauk Ave Suite 102, New London CT 06320-4906. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Snyderman, David Mark can be contacted via phone (860) 447-9280.Contact Information
Primary practice address
21 Montauk Ave Suite 102
New London CT 06320-4906
Phone: (860) 447-9280
Fax: (860) 437-1938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 008333 | Connecticut |
Profile Details
| NPI number | 1316961121 |
|---|---|
| LBN Legal business name | Snyderman, David Mark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316961121 | NPPES |
| Connecticut | MEDICAID | 002083335 |
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