Welcome to our website!

Our office will be closed on Monday, March 27th & Tuesday, March 28th for Spring Break.  If you have an emergency, please call our office at 256-767-0809 and our answering service will assist you. 

Have a safe and fun Spring Break! 



Welcome to Shoals Orthodontics, conveniently located in Florence, Alabama. Dr. David A. Twesme and Dr. Stephen D. Koonce are proud to offer outstanding orthodontic care for the entire family in a clean, relaxing atmosphere. We offer a wide range of orthodontic treatment to meet the needs and desires of each individual patient. Shoals Orthodontics is equipped with state-of-the-art technology to ensure our patients receive optimum results in the most efficient manner possible.


 Our team of skilled professionals is dedicated to providing each of our patients with the compassionate and individualized care they deserve. We feature a comprehensive set of orthodontic options, from traditional systems to revolutionary new technology, to ensure that we have an orthodontic solution that will be perfect for you, regardless of your age or orthodontic needs. Using our precise mix of cutting-edge technology and time-proven methods, we will work tirelessly to give you a smile you can be proud of!

Schedule your appointment with us at Shoals Orthodontics today.


  Attn: Parents

 We will NOT provide care for a sick child if the health of other patients is at risk. Please keep your child home if he or she is sick. If your child is too sick to attend school, please reschedule their appointment for 24 hours or more after the child is fever free or has no other symptoms.