IndividualActive
Stephen Shall, D.D.S.
NPI 1215932504 · Oral & Maxillofacial Surgery (D.M.D.) · Sylvania, OH
Provider details
- NPI number
- 1215932504
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 16634 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
Practice location
5690 Monroe St
Sylvania, OH 43560-2736
Phone: (419) 479-3939
Fax: (419) 479-3933
Approximate (ZIP-level) locationGet directions
Mailing address
5690 Monroe St
Sylvania, OH 43560-2736
Registry dates
- Enumerated
- 2005-06-15
- Last updated
- 2019-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.