Kathleen Carpentier Snellings, D.D.S.
Individual provider Active NPI Dentist · Pomfret, MD
NPI 1295068450 · NPPES record last updated Sep 4, 2009
Key facts
- NPI
- 1295068450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 11213 (MD)
- Practice address
- 4300 Wynham PL
Pomfret, MD 20675-3204 - Phone
- (301) 752-2959
- NPI assigned
- Sep 4, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11213 | MD | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11213 | MD | Yes |
Addresses
Primary practice location
4300 Wynham PL
Pomfret, MD 20675-3204
Mailing address
PO Box 190
Pomfret, MD 20675-0190
Phone (301) 752-2959
Other providers in Pomfret, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.