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Stephen Mark Shall, DDS
Oral & Maxillofacial Surgery (D.M.D.) in Sylvania, Ohio
NPI 1215932504

Stephen Mark Shall is a Oral & Maxillofacial Surgery (D.M.D.) based in Sylvania, OH. Stephen Mark Shall practices in Sylvania, OH and has the professional credentials of DDS. The NPI Number for Stephen Mark Shall is 1215932504 and holds a License No. 16634 (Ohio).

The current practice location address for Stephen Mark Shall is 5690 Monroe St, Sylvania, OH and can be reached out via phone at 419-479-3939 and via fax at 419-479-3933. You can also correspond with Stephen Mark Shall through the mailing address at 5690 MONROE ST, SYLVANIA, OH - 43560-2736 (mailing address contact number: 419-479-3939).

Location: 5690 Monroe St, Sylvania, OH, 43560-2736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215932504
Provider Name
Stephen Mark Shall
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5690 Monroe St, Sylvania, OH, 43560-2736
Phone Number
419-479-3939
Fax Number
419-479-3933
Provider Enumeration Date
06/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0515599 05 OH
institution
Provider Business Practice Location Address Details
Address
5690 Monroe St
City
Sylvania
State
Ohio
Zip
43560-2736
Phone Number
419-479-3939
Fax Number
419-479-3933
person
Provider Business Mailing Address Details
Address
5690 Monroe St
City
Sylvania
State
Ohio
Zip
43560-2736
Phone Number
419-479-3939
Fax Number
419-479-3933
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
30.016634 (Ohio)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
16634 (Ohio)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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