Provider Demographics
NPI:1386798429
Name:SHROYER, KATHRYN M (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:M
Last Name:SHROYER
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Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:26777 LORAIN RD
Mailing Address - Street 2:SUITE 510
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-3200
Mailing Address - Country:US
Mailing Address - Phone:440-734-4748
Mailing Address - Fax:440-734-1433
Practice Address - Street 1:26777 LORAIN RD
Practice Address - Street 2:SUITE 510
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-3200
Practice Address - Country:US
Practice Address - Phone:440-734-4748
Practice Address - Fax:440-734-1433
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH219981223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics