Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Shane Wall, DMD

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1396842589

Dr. Michael Shane Wall, DMD is an Orthodontics and Dentofacial Orthopedics Dentistry in Statesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

506 Gentilly Rd
Statesboro, GA 30458
Phone: (912) 764-6737
Fax: (912) 489-4848
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence DN012729 (GA)

Record details

NPI number1396842589
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESDecember 14, 2009
Mailing address506 Gentilly Road, Statesboro, GA 30458

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