Welcome to our website!

  We are so excited about partnering with Isaiah's Call by the Josh Willingham Foundation to help provide food to those in need for the holidays. Head over to our Facebook page and check out the latest details on how you can help and be entered into a drawing for $50!  


  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.


 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.