Shawnee Health Service & Development Corp
Shawnee Health Service & Development Corp is a Dentist in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2009.
- Licensed in
- IL
- In the registry since
- 2009
- Specialties on file
- 5
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
402 S Lewis LnCarbondale, IL 62901
Phone: (618) 519-9901
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|---|
| Dentist | Taxonomy 122300000X (IL) |
| Pediatric Dentistry | Taxonomy 1223P0221X (IL) |
| Dental Hygienist | Taxonomy 124Q00000X (IL) |
| Dental Assistant | Taxonomy 126800000X (IL) |
Record details
| NPI number | 1174859870 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Shawnee Health Service and Development Corp |
| Authorized official | Christina Carney — Ceo · (618) 956-9521 |
| Other names | Shawnee Health Care, Carbondale Dental |
| NPI enumerated | October 30, 2009 |
| Last updated in NPPES | April 4, 2024 |
| Certification date | April 4, 2024 |
| Mailing address | 109 California St, Po Box 577, Carterville, IL 62918-1923 |
Other providers in Carbondale
-
Andrew Jacob Koester, DMD
1001 E Main St, Carbondale, IL 62901-3100 · (618) 549-2273
-
Rhiannon Marie Kuruppu, DMD
1240 Cedar Ct, Carbondale, IL 62901-5334 · (618) 549-7621
-
Adedoyin Idayat Malik, DDS
1111 E Walnut St, Carbondale, IL 62901-5000 · (618) 529-2471
-
Matthew J. Milligan, DMD
1366 E Main St, Carbondale, IL 62901-3144 · (618) 549-0208
-
Dr. Dwayne Gail Summers, DMD
1365 Douglas Dr, Carbondale, IL 62901-2583 · (618) 453-2353
-
Amy M Wyatt, DMD
101 S Wall St, Carbondale, IL 62901-3021 · (618) 529-2621