Organization Active NPI

Timothy L Snyder DDS PA

  • General Practice Dentistry
  • Cape Coral, FL
National Provider Identifier
1255508776
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN8756 Issued in FL
Legal business name
TIMOTHY L SNYDER DDS PA
Practice address
4113 Del Prado Blvd South
Cape Coral, FL 33904
Phone
(239) 540-1117
Fax
(239) 540-1119
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Timothy Lawrence Snyder, DDSNPI 1497154231
Title
President
Phone
(239) 540-1117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN8756 FL Primary

Addresses

Primary practice location

4113 Del Prado Blvd South
Cape Coral, FL 33904

Mailing address

4113 Del Prado Blvd South
Cape Coral, FL 33904
Phone (239) 540-1117

National Provider Directory

National Provider Directory

Locations

4113 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 540-1117

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1255508776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 DEL PRADO BLVD SOUTH",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33904",
            "telephone_number": "239-540-1117",
            "fax_number": "239-540-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 DEL PRADO BLVD SOUTH",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33904",
            "telephone_number": "239-540-1117",
            "fax_number": "239-540-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY L SNYDER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-540-1117",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN8756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.