Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629743844 Individual Practitioner Male Practitioner

Dr. Jack Snow , DMD

Dentist - General Practice • West Orange, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jack Snow, DMD is a registered healthcare professional specializing in Dentist - General Practice in West Orange, TX. Practice services are available at 3109 EDGAR BROWN DR STE H under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3109 Edgar Brown Dr Ste H

West Orange, TX 776305381

Telephone 4092544759
Associated Practice Facility / Clinic
🏢 Therapeeps, Llc Facility NPI 1881455467

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in West Orange, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
5 Specialists

Practicing in West Orange, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D011112

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

5110 E Warner Rd Ste 250

Phoenix, AZ 850443371

Phone: 4179888712

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Peter Rodriguez

Dentist - General Practice

NPI 1518686427
Dr. Anil Kumar Madan , DMD

Dentist - General Practice

NPI 1962977025

Doctor of Dental Medicine

Sydney Oorlog

Dentist - General Practice

NPI 1992403430

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 01, 2022

Registered at 3109 EDGAR BROWN DR STE H, WEST ORANGE, TX 776305381 (Tel: 4092544759)

📍
Updated Business Mailing Address April 01, 2022

Registered at 8564 E LAKE RD, SAN TAN VALLEY, AZ 851439437 (Tel: 4179888712)

NPI Profile Active August 26, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2021

Registered at 5110 E WARNER RD STE 250, PHOENIX, AZ 850443371 (Tel: 4179888712)

📍
Updated Business Mailing Address August 26, 2021

Registered at 4554 E PARADISE VILLAGE PKWY N UNIT 204, PHOENIX, AZ 850326842 (Tel: 4179888712)

👤
Provider Name / Credentials Updated August 26, 2021

Recorded as JACK SNOW, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2021

Dentist (License #D011112 in AZ)

🟢
Initial NPI Registration & Enumeration August 10, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629743844
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2021
Last Update: April 01, 2022
Sole Proprietor: No

Mailing Address

8564 E Lake Rd

San Tan Valley, AZ 851439437

Phone: 4179888712

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.