Provider Demographics
NPI:1285896639
Name:SCHROYER, STEVEN B (DDS)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:B
Last Name:SCHROYER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4365 LAWN AVE
Mailing Address - Street 2:
Mailing Address - City:WESTERN SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60558-1465
Mailing Address - Country:US
Mailing Address - Phone:708-246-4320
Mailing Address - Fax:708-784-0847
Practice Address - Street 1:4365 LAWN AVE
Practice Address - Street 2:
Practice Address - City:WESTERN SPRINGS
Practice Address - State:IL
Practice Address - Zip Code:60558-1465
Practice Address - Country:US
Practice Address - Phone:708-246-4320
Practice Address - Fax:708-784-0847
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019021655122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist