Provider Demographics
NPI:1538532684
Name:SNAPP, JACQUELINE (DDS)
Entity type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:
Last Name:SNAPP
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19203 59TH DR NE
Mailing Address - Street 2:UNIT B-12
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-4714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19203 59TH DR NE
Practice Address - Street 2:UNIT B-12
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-4714
Practice Address - Country:US
Practice Address - Phone:425-837-8121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE 605758131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice