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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1215932504

Stephen Mark Shall, DDS is a Maxillofacial Surgery in Sylvania, Ohio. Graduated from Ohio State University College of Dentistry in 1978, 48 years ago. Practices with Western Lake Erie Oms Ltd, a 5-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
48
Trained at
Ohio State University College of Dentistry
Licensed in
OH
In the registry since
2005
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

5690 Monroe St
Sylvania, 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 30.016634 (OH)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 16634 (OH)

Record details

NPI number1215932504
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 15, 2005
Last updated in NPPESAugust 1, 2019
Mailing address5690 Monroe St, Ste A, Sylvania, OH 43560-2736

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF DENTISTRY
Graduated 1978 (48 years in practice)
Group practice Western Lake Erie Oms Ltd. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sylvania