Kelly Anne Snyder, DDS, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018614 Issued in MI

Legal business name

KELLY ANNE SNYDER, DDS, P.C.

Practice address

2101 Aurelius Rd
Suite 3
Holt, MI 48842-1380

Phone

(517) 694-4700

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Anne Snyder, DDSNPI 1164526513

Title

President/Owner

Phone

(517) 694-4700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kelly Anne Snyder, DDS

  • General Practice Dentistry
  • Holt, MI
  • NPI 1164526513
  NPD (past) Authorized official

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1295929677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 AURELIUS RD",
            "address_2": "SUITE 3",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421380",
            "telephone_number": "517-694-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 AURELIUS RD",
            "address_2": "SUITE 3",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421380",
            "telephone_number": "517-694-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY ANNE SNYDER, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "517-694-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Holt, MI
• Providers in Holt, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.