Organization
SHAWN A. WALLS, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN A WALLS DDS (PRESIDENT/DENTIST)
(770) 813-0079
Entity
Organization
Contact information
Practice address
10700 MEDLOCK BRIDGE RD., SUITE 202, JOHNS CREEK, GA 30097
(770) 813-0079
(770) 814-7407
Mailing address
10700 MEDLOCK BRIDGE RD., SUITE 202, JOHNS CREEK, GA 30097
(770) 813-0079
(770) 814-7407
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/02/2023
Last updated
05/02/2023
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