Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shawnee Health Service and Development Corp

Organization Pediatric Dentistry · NPI 1164385753

Shawnee Health Service and Development Corp is a Pediatric Dentistry in Marion, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3115 Williamson County Pkwy Ste B
Marion, IL 62959-5287
Phone: (618) 519-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1164385753
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationShawnee Health Service and Development Corp
Authorized official Christina Carney — Ceo · (618) 985-8221
Other names Shawnee Health, Children'S Dental Center - Advanced Care
NPI enumeratedDecember 9, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing address109 California St, Carterville, IL 62918-1923

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