Individual
DR. TYLER JOHN SHAWCROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3897
Mailing address
4721 N FLINTRIDGE RD, RIVERSIDE, MO 64150-1103
(816) 612-3521
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2008013579
MO
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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