NPI age
4 years
Enumerated 2022-02-01
● Active
Type 1 · Individual
Shannon Walls
Walls is 1 of 1 dental therapist providers in Fort Benning and 1 of 3 in Georgia.
Primary specialty
Dental Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 3 active dental therapist providers in Georgia.
NPI age
4 years
↓ 5 yr below median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-02Enumerated in NPPES
2022
2026
Where they practice
Practice location
3255 11 Airborne Division Road
Fort Benning, GA 31801
Mailing address
3255 11 Airborne Division Road
Fort Benning, GA 31801
Specialties
-
Dental Therapist PrimaryA Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 3346105139 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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