| Dr Michael Shane Wall, DMD | |
|
506 Gentilly Road, Statesboro, GA 30458 | |
| (912) 764-6737 | |
| (912) 489-4848 |
| Full Name | Dr Michael Shane Wall |
|---|---|
| Gender | Male |
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 506 Gentilly Road, Statesboro, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396842589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN012729 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Shane Wall, DMD 506 Gentilly Road, Statesboro, GA 30458 Ph: (912) 764-6737 | Dr Michael Shane Wall, DMD 506 Gentilly Road, Statesboro, GA 30458 Ph: (912) 764-6737 |
Dale Cyril Madson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1046 Northside Dr East, Statesboro, GA 30458 Phone: 912-764-9187 Fax: 912-764-7530 | |
Dr. Williams C Finley Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 225 S Zetterower Ave, Statesboro, GA 30458 Phone: 912-489-0967 Fax: 912-489-0974 | |
Dr. Sally Young, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2 Lester Ct, Statesboro, GA 30458 Phone: 912-489-1386 Fax: 912-764-8533 | |
Dr. Alicia Bryant-thomas, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 219 Savannah Ave, Statesboro, GA 30458 Phone: 912-764-6149 | |
Dr. Anjali Puri Patel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 613 E Grady St, Statesboro, GA 30458 Phone: 912-259-9543 Fax: 012-259-9544 | |
Dr. Fionn Thomas, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 219 Savannah Ave, Statesboro, GA 30458 Phone: 912-764-6149 Fax: 912-764-3863 | |
Dr. Henry Jackson Proctor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 378 Savannah Ave, Statesboro, GA 30458 Phone: 912-764-4403 |