Dr. David A Shall, DDS, MD
Dr. David A Shall, DDS, MD is an Oral Surgery in Sylvania, Ohio. Graduated from State Un of Ny, Stony Brook School of Dental Med in 2012, 14 years ago. Practices with Western Lake Erie Oms Ltd, a 5-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 14
- Trained at
- State Un of Ny, Stony Brook School of Dental Med
- Licensed in
- OH
- In the registry since
- 2009
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
5690 Monroe StSylvania, OH 43560-2736
Phone: (419) 479-3939
Fax: (419) 479-3933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral & Maxillofacial Surgery (D.M.D.) (primary) | Taxonomy 204E00000X · Licence 30.023350 (OH) |
|---|---|
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X · Licence 30.023350 (OH) |
Record details
| NPI number | 1194968347 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS , MD |
| Sole proprietor | Yes |
| NPI enumerated | April 16, 2009 |
| Last updated in NPPES | August 1, 2019 |
| Mailing address | 5690 Monroe St, Sylvania, OH 43560-2736 |
Medicare enrollment
| Medicare specialty | ORAL SURGERY |
|---|---|
| Medical school | STATE UN OF NY, STONY BROOK SCHOOL OF DENTAL MED |
| Graduated | 2012 (14 years in practice) |
| Group practice | Western Lake Erie Oms Ltd. — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Sylvania
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Dr. Lauren Graham Bourell, DDS, MD
5690 Monroe St, Sylvania, OH 43560-2736 · (419) 479-3939
-
Dr. Aaron M Brinster, DDSMD
5690 Monroe St, Sylvania, OH 43560-2736 · (419) 479-3939
-
Stephen Mark Shall, DDS
5690 Monroe St, Sylvania, OH 43560-2736 · (419) 479-3939
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Western Lake Erie Oms Ltd
5690 Monroe St, Sylvania, OH 43560-2736 · (419) 479-3939