Active NPI
Conley Trigg Snidow III, DDS
- General Practice Dentistry
- Midlothian, VA
National Provider Identifier
1093985665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401003668
- Practice address
- 1500 Huguenot Road
Suite 107
Midlothian, VA 23113-2478 - Phone
- (804) 379-9399
- Fax
- (804) 379-8401
- NPI assigned
- Mar 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401003668 | VA | Primary |
Addresses
Primary practice location
1500 Huguenot Road
Suite 107
Midlothian, VA 23113-2478
Mailing address
1500 Huguenot Road
Suite 107
Midlothian, VA 23113-2478
Phone (804) 379-9399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401003668 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| F. Lee Angus Jr. DDS | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1093985665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 HUGUENOT ROAD",
"address_2": "SUITE 107",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231132478",
"telephone_number": "804-379-9399",
"fax_number": "804-379-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 HUGUENOT ROAD",
"address_2": "SUITE 107",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231132478",
"telephone_number": "804-379-9399",
"fax_number": "804-379-8401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIDOW",
"first_name": "CONLEY",
"middle_name": "TRIGG",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-10",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401003668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.