Laura Leslie Snider, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13830 Issued in MN

Practice address

15616 Edgewood Dr Ste 110
Baxter, MN 56401-4492

Phone

(218) 828-0565

Fax

(218) 828-0565

NPI assigned

Mar 29, 2017

Last updated

Oct 13, 2021By the provider in NPPES

Sex

Female

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Jeanni R. Foss DDS LLC

  dba Edgewood Dental

  • General Practice Dentistry
  • Baxter, MN
  • NPI 1194888107
  NPD

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1326570391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "address_2": "PURPLE BUILDING 5TH FLOOR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-8513",
            "fax_number": "612-904-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15616 EDGEWOOD DR STE 110",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564014492",
            "telephone_number": "218-828-0565",
            "fax_number": "218-828-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "LAURA",
        "middle_name": "LESLIE",
        "name_prefix": "Ms.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Michelle Smith, APRN,CNP
• Dean A Smith, MD
• Genevere Ann Smith, LGSW
• Meghan Smith
• Rebecca Smith
• Cassandra Marie Snyder, LGSW
• Edna Evangeline Sobania, RPH
• Rhapsody Soderberg
• Heather Bell Solem, MD
• Lindsey R Southwick, PHARM.D

• General Practice Dentistry in Baxter, MN
• Providers in Baxter, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.