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STEPHEN MARK SHALL D.D.S.
NPI 1215932504
Oral & Maxillofacial Surgery in Sylvania, OH

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment
5690 MONROE ST, SYLVANIA, OH 43560(419) 479-3939(419) 479-3933 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 1, 2019, Sep 13, 2016 (2 updates tracked since 2016).

About Stephen Mark Shall D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN MARK SHALL D.D.S. (NPI 1215932504) is an individual oral & maxillofacial surgery provider in Sylvania, Ohio, licensed in Ohio (30.016634) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Dentistry (1978).

NPPES Registry Identity

NPI1215932504
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameSTEPHEN MARK SHALLCredential: D.D.S.
Location Address5690 MONROE STSylvania, OH 43560-2736
Mailing Address5690 Monroe St, Ste ASylvania, OH 43560-2736 · (419) 479-3939 · Fax (419) 479-3933
Phone(419) 479-3939
Fax(419) 479-3933
Sole ProprietorNo
Medical School CMSOhio State University College Of DentistryGraduated 1978
Enumeration DateJune 15, 2005
Last NPPES UpdateAugust 1, 20192 updates tracked since enumeration
✔ NPI 1215932504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in OH · 30.016634
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 16634 (OH)
5690 MONROE ST, Sylvania, OH 43560
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Other Identifiers 1

Medicaid0515599OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephen Mark Shall D.d.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436040458
PECOS Enrollment IDI20040323000425
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID A SHALL D.D.S., MD
Oral & Maxillofacial Surgery
5690 MONROE ST
SYLVANIA, OH 43560
Lucas County (419) 479-3939
DR. LAUREN GRAHAM BOURELL DDS, MD
Oral & Maxillofacial Surgery
5690 MONROE ST
SYLVANIA, OH 43560
Lucas County (419) 479-3939
WESTERN LAKE ERIE OMS LTD.
Clinic/Center (Oral and Maxillofacial Surgery)
5690 MONROE ST
SYLVANIA, OH 43560
Lucas County (419) 479-3939
DR. AARON M BRINSTER D.D.S. M.D.
Oral & Maxillofacial Surgery
5690 MONROE ST
SYLVANIA, OH 43560
Lucas County (419) 479-3939

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Shall's NPI number?

The NPI number for Stephen Shall is 1215932504. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Stephen Shall located?

Stephen Shall practices at 5690 Monroe St, Sylvania, OH 43560. The listed phone number is (419) 479-3939.

What is Stephen Shall's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Stephen Shall enrolled in Medicare?

Yes. Stephen Shall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephen Shall accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Stephen Shall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephen Shall was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.