Leigh Ellen Snyder, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901014522 Issued in MI

Practice address

16869 Fourteen Mile Rd
Fraser, MI 48026

Phone

(586) 775-1490

Fax

(586) 775-7851

NPI assigned

Nov 7, 2006

Last updated

Sep 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 MI

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. Leigh Ellen Snyder DDS

  • General Practice Dentistry
  • Fraser, MI
  • NPI 1366057929
  NPD

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1780753467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16869 FOURTEEN MILE RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "48026",
            "telephone_number": "586-775-1490",
            "fax_number": "586-775-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16869 FOURTEEN MILE RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "48026",
            "telephone_number": "586-775-1490",
            "fax_number": "586-775-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "LEIGH",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Select Dental PC
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• Lindy Marie Smith, COTAL
• Lauren Danielle Snarski, RN
• Judith Marie Spence
• John W. Staszel, D.O.
• Mark Andrew Stefani, OD
• Leah Stefanou
• Susan Anderson Styf, LMSW

• General Practice Dentistry in Fraser, MI
• Providers in Fraser, 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 Sep 8, 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.