Provider Demographics
NPI:1053040964
Name:ADAM SHROYER DDS, P.C.
Entity Type:Organization
Organization Name:ADAM SHROYER DDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:SHROYER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:319-333-5394
Mailing Address - Street 1:3135 WESTMORE DR
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-1579
Mailing Address - Country:US
Mailing Address - Phone:319-333-5394
Mailing Address - Fax:
Practice Address - Street 1:217 E MONROE ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:IA
Practice Address - Zip Code:52641-1975
Practice Address - Country:US
Practice Address - Phone:319-385-4680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental