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JACK SNOW DMD
NPI 1629743844
Dentist - General Practice in West Orange, TX

Active since August 10, 2021
3109 EDGAR BROWN DR STE H, WEST ORANGE, TX 77630(409) 254-4759 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 26, 2021, Aug 10, 2021 (2 updates tracked since 2021).

About Jack Snow Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK SNOW DMD (NPI 1629743844) is an individual general practice provider in West Orange, Texas, licensed in Arizona (D011112) and active in the NPI registry since August 2021. He maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1629743844
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACK SNOWCredential: DMD
Location Address3109 EDGAR BROWN DR STE HWest Orange, TX 77630-5381
Mailing Address8564 E Lake RdSan Tan Valley, AZ 85143-9437 · (417) 988-8712
Phone(409) 254-4759
Sole ProprietorNo
Enumeration DateAugust 10, 2021
Last NPPES UpdateApril 1, 20222 updates tracked since enumeration
NPPES CertifiedApril 1, 2022
✔ NPI 1629743844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · D011112
Definition
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.
3109 EDGAR BROWN DR STE H, West Orange, TX 77630
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Secondary Practice Location 1

Location 15110 E Warner Rd Ste 250Phoenix, AZ 85044-3371 · Phone (417) 988-8712

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANIL KUMAR MADAN DMD
Dentist (General Practice)
3109 EDGAR BROWN DR STE H
WEST ORANGE, TX 77630
Orange County (409) 330-4252
SYDNEY T OORLOG
Dentist (General Practice)
3109 EDGAR BROWN DR STE H
WEST ORANGE, TX 77630
Orange County (409) 330-4252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Snow's NPI number?

The NPI number for Jack Snow is 1629743844. It was assigned to this individual provider in the NPPES registry on August 10, 2021.

Where is Jack Snow located?

Jack Snow practices at 3109 Edgar Brown Dr Ste H, West Orange, TX 77630. The listed phone number is (409) 254-4759.

What is Jack Snow's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jack Snow accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Montana and 15 other insurers list Jack Snow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Snow was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.