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Dr. Michael Shane Wall, DMD
Orthodontics and Dentofacial Orthopedic Dentist in Statesboro, Georgia
NPI 1396842589

Michael Shane Wall is a Orthodontics and Dentofacial Orthopedic Dentist based in Statesboro, GA and is specialized in Orthodontics and Dentofacial Orthopedics. Michael Shane Wall practices in Statesboro, GA and has the professional credentials of DMD. The NPI Number for Michael Shane Wall is 1396842589 and holds a License No. DN012729 (Georgia).

The current practice location address for Michael Shane Wall is 506 Gentilly Road, Statesboro, GA and can be reached out via phone at 912-764-6737 and via fax at 912-489-4848.

Location: 506 Gentilly Road, Statesboro, GA, 30458
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396842589
Provider Name
Michael Shane Wall
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
506 Gentilly Road, Statesboro, GA, 30458
Phone Number
912-764-6737
Fax Number
912-489-4848
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
506 Gentilly Road
City
Statesboro
State
Georgia
Zip
30458
Phone Number
912-764-6737
Fax Number
912-489-4848
person
Provider Business Mailing Address Details
Address
506 Gentilly Road
City
Statesboro
State
Georgia
Zip
30458
Phone Number
912-764-6737
Fax Number
912-489-4848
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
DN012729 (Georgia)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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