DR. Rock Tyler Shadduck, DMD
NPI #1124642392 in Wyncote, Pennsylvania
Provider Information
- NPI Number
- 1124642392
- Entity Type
- Individual
- Name
- DR. Rock Tyler Shadduck, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jun 3, 2020
- Last Updated
- Jun 3, 2020
Practice Location
- Address
- 1000 EASTON RD STE 465
- City
- Wyncote
- State
- Pennsylvania
- ZIP Code
- 19095-2900
- Phone
- (267) 367-5014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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