Individual provider · Type 1 NPI
Rock Tyler Shadduck, DMD
General Practice Dentistry · Wyncote, PA
NPI number
1124642392
Active
Practice location
1000 Easton Rd Ste 465
Wyncote, PA 19095-2900
Mailing address
633 W Rittenhouse St Apt B302
Philadelphia, PA 19144-4363
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | DS042686 (PA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2 other providers at this address
Other general practice dentistry providers in Wyncote
About NPI 1124642392
Rock Tyler Shadduck, DMD's National Provider Identifier is 1124642392, issued on Jun 3, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Wyncote, PA. The record was last updated on Jun 3, 2020.