JESSICA J SNELLER DDS PLLC (NPI# 1336786300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336786300 |
| Entity Type | Organization |
| Organization Name | JESSICA J SNELLER DDS PLLC |
| Practice Address |
384 N Third Ave, Suite A Fruitport MI 49415 |
| Practice Telephone | 2313666081 |
| Practice Fax Number | 2313666083 |
| Mailing Telephone | 2313666081 |
| Mailing Fax Number | 2313666083 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | DR. JESSICA JEAN SNELLER (OWNER) |
| Authorized Official Telephone | 2313666081 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sneller Family Dentistry | Doing Business As Name - Organization |
| Street Address |
384 N THIRD AVE, SUITE A |
| City | FRUITPORT |
| State | MI |
| Zip Code | 49415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114309796 | Marissa Brandenburg | Counselor | 3255 Pontaluna Rd, Fruitport, MI 49415 | 2015-06-19 |
| 1174873665 | Agape Home At Blueberry Fields Inc. | Assisted Living Facility | 4747 E Mt. Garfield Rd., Fruitport, MI 49415 | 2012-09-12 |
| 1124266960 | James Robert Lucie | Family Medicine | 4191 E. Fruitport Rd, Fruitport, MI 49415 | 2009-02-02 |
| 1487677555 | Healthy Concepts Inc. | Chiropractor | 3427 Farr Rd, Fruit Port, MI 49415 | 2006-07-26 |
| 1619997996 | Third Avenue Family Clinic, PC | Family Medicine | 14 N. Third Ave, Fruitport, MI 49415 | 2006-07-20 |
| 1619360500 | Kevin E Krum | Psychologist | 2981 E Sternberg Rd, Fruitport, MI 49415-8625 | 2015-03-17 |
| 1215930854 | Renae Lynne Crozier | Registered Nurse | 3443 Farr Rd, Fruitport, MI 49415-8779 | 2005-05-27 |
| 1457989188 | David W Ziemke | Family Medicine | 3443 Farr Rd, Fruitport, MI 49415-8779 | 2020-03-30 |
| 1780212456 | George W Neros | Family Medicine | 3443 Farr Rd, Fruitport, MI 49415-8779 | 2020-03-30 |
| 1205464955 | Rachael Nicole Folkmier | Family Medicine | 3443 Farr Rd, Fruitport, MI 49415-8779 | 2020-03-30 |
| Find all providers in zip 49415 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427675396 | Donna L Rick Dds PC | Clinic/Center | 40 E Beech St, Fruitport, MI 49415-9210 | 2020-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821216 | Inspired Family Dental Care | Clinic/Center | 1685 Fairholme Rd, Grosse Pointe Woods, MI 48236-2368 | 2020-11-05 |
| 1376144261 | Right Choice Dental, PC | Clinic/Center | 475 Columbia Ave E Ste 5, Battle Creek, MI 49014-5461 | 2020-11-05 |
| 1669073813 | Thomas M Smith, Dds, Plc | Clinic/Center | 755 Seminole Rd Ste 103, Norton Shores, MI 49441-6561 | 2020-11-04 |
| 1235739533 | Randy J Breen Dds Pllc | Clinic/Center | 2460 Burton St Se Ste 201, Grand Rapids, MI 49546-4800 | 2020-10-27 |
| 1831798370 | Saline Dental Care, Pllc | Clinic/Center | 150 Judd Rd, Milan, MI 48160-9584 | 2020-10-24 |
| 1235738113 | David Sorial Dds PC | Clinic/Center | 14755 Northline Rd, Southgate, MI 48195-2407 | 2020-10-21 |
| 1598363970 | Steven M Moss Dds PC | Clinic/Center | 37625 Ann Arbor Rd Ste 108, Livonia, MI 48150-2400 | 2020-10-16 |
| 1700484375 | Troy Cosmetic and Implant Dental Center Pllc | Clinic/Center | 4770 Rochester Rd Ste 106, Troy, MI 48085-4951 | 2020-10-15 |
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1245837806 | Kendall J Lee Dds Pllc | Clinic/Center | 111 S Howell St, Hillsdale, MI 49242-1873 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.