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General NPI Number Information
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NPI Number | 1053040964
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Entity Type | Organization
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Legal Business Name | ADAM SHROYER DDS, P.C.
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Dates
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Enumeration Date | 06/07/2022
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 217 E MONROE ST
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City | MT PLEASANT
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State | IA
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Zip | 52641-1975
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Country | US
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Telephone | 319-385-4680
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Fax |
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Provider Business Mailing Address
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Address Line | 3135 WESTMORE DR
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City | DUBUQUE
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State | IA
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Zip | 52001-1579
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Country | US
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Telephone | 319-333-5394
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Fax |
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Authorized Official
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Title or Position | OWNER, DENTIST
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Name | DR. ADAM GREGORY SHROYER
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Credential | DDS
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Telephone | 319-333-5394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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