Provider Demographics
NPI:1619289105
Name:SNITZER, DEANNA HELAINE (DDS)
Entity type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:HELAINE
Last Name:SNITZER
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 1:23 SECA PL
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93908-8938
Mailing Address - Country:US
Mailing Address - Phone:720-369-9323
Mailing Address - Fax:
Practice Address - Street 1:130 E ROMIE LN
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3158
Practice Address - Country:US
Practice Address - Phone:303-779-8587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010016145122300000X
CO10515122300000X
OK6218122300000X
CA108080122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist