Provider Demographics
NPI:1538440177
Name:SNINSKI & SCHMITT D.M.D., P.A.
Entity type:Organization
Organization Name:SNINSKI & SCHMITT D.M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DMD
Authorized Official - Prefix:DR
Authorized Official - First Name:MATHEW
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SCHMITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-467-2203
Mailing Address - Street 1:100 RIDGE VIEW DR
Mailing Address - Street 2:STE 103
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-5589
Mailing Address - Country:US
Mailing Address - Phone:919-467-2203
Mailing Address - Fax:919-462-6421
Practice Address - Street 1:3372 SIX FORKS RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7233
Practice Address - Country:US
Practice Address - Phone:919-787-0056
Practice Address - Fax:919-787-3225
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SNINSKI & SCHMITT D.M.D., P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC76541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty