SHAWN A. WALLS DDS PC NPI 1093411910

NPI Information

  • NPI: 1093411910
  • Provider Name: SHAWN A. WALLS, DDS, PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 10700 MEDLOCK BRIDGE RD.
    SUITE 202
    JOHNS CREEK, GA
    ZIP 30097
  • Phone: (770) 813-0079

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NPI Details

SHAWN A. WALLS, DDS, PC is a general practice dentist in Johns Creek, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SHAWN A. WALLS, DDS, PC NPI is 1093411910. The provider is registered as an organization entity type.

The provider's business location address is:

10700 MEDLOCK BRIDGE RD.
SUITE 202
JOHNS CREEK, GA
ZIP 30097
Phone: (770) 813-0079
Fax: (770) 814-7407

The provider's authorized official is Shawn A Walls .
The authorized official title is President/dentist and has the following contact phone number (770) 813-0079.

The enumeration date for this NPI number is 2/2/2023 and was last updated on 5/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
21223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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