Timothy Michael Snider, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4598 Issued in SC

Practice address

1302 SC Hwy 72 Business
Greenwood, SC 29649

Phone

(864) 229-5885

Fax

(864) 229-1002

NPI assigned

Jun 1, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Imagen Cambridge, LLC

  • General Practice Dentistry
  • Greenwood, SC
  • NPI 1316543242
  NPD Authorized official
• Cambridge Dental of Greenwood, LLC

  • Dental Clinic/Center
  • Greenwood, SC
  • NPI 1346661683
  NPD (past) Authorized official

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1265668677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 FOLLY BEND DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296498533",
            "telephone_number": "864-934-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 SC HWY 72 BUSINESS",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29649",
            "telephone_number": "864-229-5885",
            "fax_number": "864-229-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2021-02-01",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Louise Smith, PHARMD
• Stephanie Adams Smith, PHARMD
• Tara Nichole Snelgrove, PT, DPT
• SNH SC Tenant LLC
• Lindsay Fuqua Snider, DMD
• Hallie Snyder
• Social Change Initiative
• Danielle McGaha Sommers
• Suresh Chandra Soni, MD
• Jose William Sotelo, MD

• General Practice Dentistry in Greenwood, SC
• Providers in Greenwood, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.