Provider Demographics
NPI:1699156836
Name:SHROYER, ADAM G (DDS)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:G
Last Name:SHROYER
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 1:705 E MONROE ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:IA
Mailing Address - Zip Code:52641-1928
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:
Is Sole Proprietor?:No
Enumeration Date:2015-06-12
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-092061223G0001X
MO20160185561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice