Provider Demographics
NPI:1043447907
Name:SNEED, AMY NICOLE (RDH)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:NICOLE
Last Name:SNEED
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 STAMPEDE TRL
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-4924
Mailing Address - Country:US
Mailing Address - Phone:214-803-7782
Mailing Address - Fax:
Practice Address - Street 1:501 FM 548
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-6284
Practice Address - Country:US
Practice Address - Phone:972-552-5128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15411124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist