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 Dentist · NPI 1356677058

Shawnee Health Service and Development Corp is a Dentist in Marion, 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.

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Practice location Address checks out

3115 Williamson County Pkwy
Marion, IL 62959-5235
Phone: (618) 969-8600
Fax: (618) 997-1214
Show map & directions

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 number1356677058
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationShawnee Health Service and Development Corp
Authorized official Christina Carney — Ceo · (618) 956-9521
Other names Shawnee Health Care, Marion Dental; Shawnee Health, Children'S Dental Center - General Care
NPI enumeratedOctober 30, 2009
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address109 California Street, Po Box 577, Carterville, IL 62918-0577

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