Provider Demographics
NPI:1558047878
Name:SCHROYER, CONNOR STEVEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:CONNOR
Middle Name:STEVEN
Last Name:SCHROYER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 WOODSTOCK AVE
Mailing Address - Street 2:
Mailing Address - City:CLARENDON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60514-1133
Mailing Address - Country:US
Mailing Address - Phone:630-939-9404
Mailing Address - Fax:
Practice Address - Street 1:4365 LAWN AVENUE
Practice Address - Street 2:SUITE 3
Practice Address - City:WESTERN SPRINGS
Practice Address - State:IL
Practice Address - Zip Code:60558
Practice Address - Country:US
Practice Address - Phone:708-246-4320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-22
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019034377122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist