Provider Demographics
NPI:1366755159
Name:SNYDER, CHERYL MARIA (DDS)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:MARIA
Last Name:SNYDER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CHERYL
Other - Middle Name:MARIA
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3478 LAKESIDE DR NE UNIT 614
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1908
Mailing Address - Country:US
Mailing Address - Phone:615-719-0449
Mailing Address - Fax:
Practice Address - Street 1:4280 LAVISTA RD STE C117
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-5315
Practice Address - Country:US
Practice Address - Phone:678-688-4811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA122922122300000X
TN93521223G0001X
AR38461223G0001X
GADN1229221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist