Provider Demographics
NPI:1023456381
Name:SNETIKER, ARNOLD (DDS)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:
Last Name:SNETIKER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:394 MOONEY POND RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11738-1436
Mailing Address - Country:US
Mailing Address - Phone:631-698-1944
Mailing Address - Fax:631-698-1682
Practice Address - Street 1:394 MOONEY POND RD
Practice Address - Street 2:
Practice Address - City:FARMINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:11738-1436
Practice Address - Country:US
Practice Address - Phone:631-698-1944
Practice Address - Fax:631-698-1682
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-10
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY26115122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1801094321OtherORGANIZATION NPI