Stephen Mark Shall
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
5690 Monroe St
Sylvania
, Ohio 43560-2736
Stephen Mark Shall
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
5690 Monroe St
Sylvania
, Ohio 43560-2736
(419) 479-3933
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Stephen Mark Shall
- 5690 Monroe St Ste A
- Sylvania, OH
- Zip : 43560-2736
- Fax : (419) 479-3933
- Phone : (419) 479-3939
Second Address
- Stephen Mark Shall
- 5690 Monroe St
- Sylvania, OH
- Zip : 43560-2736
- Fax : (419) 479-3933
- Phone : (419) 479-3939
Reviews
FAQs
Where did Stephen Mark Shall attend graduate school?
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Is Stephen Mark Shall board certified?
What type of doctor is Stephen Mark Shall
In what state does Stephen Mark Shall practice in?
Where is Stephen Mark Shall ’s practice located?
What is Stephen Mark Shall ’s gender?
Is Stephen Mark Shall a sole practitioner?
Is Stephen Mark Shall accepting new patients?
What languages does Stephen Mark Shall speak?
Does Stephen Mark Shall accept insurance?
Does Stephen Mark Shall offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 16634 | OH |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 30.016634 | OH |
National Provider Identifier
| NPI | 1215932504 |
|---|---|
| Provider Name | Stephen Mark Shall |
| First Address | Sylvania, OH 43560-2736 |
| Second Address | Sylvania, OH 43560-2736 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2005 |
| Last Update Date | 01/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0515599 | (05) | OH |
| T47412 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.