person
Shannon Walls
Dental Therapist in Fort Benning, Georgia
NPI 1174276026

Shannon Walls is a Dental Therapist based in Fort Benning, GA. Shannon Walls practices in Fort Benning, GA. The NPI Number for Shannon Walls is 1174276026 and holds a License No. (Georgia).

The current practice location address for Shannon Walls is 3255 11 Airborne Division Road, Fort Benning, GA and can be reached out via phone at 706-544-9071.

Location: 3255 11 Airborne Division Road, Fort Benning, GA, 31801
person
Provider Profile Details
NPI Number
1174276026
Provider Name
Shannon Walls
Credential
Provider Entity Type
Individual
Gender
Female
Address
3255 11 Airborne Division Road, Fort Benning, GA, 31801
Phone Number
706-544-9071
Fax Number
Provider Enumeration Date
02/01/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3346105139 05 GA
institution
Provider Business Practice Location Address Details
Address
3255 11 Airborne Division Road
City
State
Zip
31801
Phone Number
706-544-9071
Fax Number
person
Provider Business Mailing Address Details
Address
3255 11 Airborne Division Road
City
State
Zip
31801
Phone Number
706-544-9071
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Therapist
Speciality
-
Taxonomy
License No.
(Georgia)
Definition
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
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