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Organization
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Active
Organization
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Active
Parent organization
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Other names
Shawnee Health, Children's Dental Center - Advanced Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Authorized official
CHRISTINA CARNEY (CEO)
(618) 985-8221
Entity
Organization
Contact information
Practice address
3115 WILLIAMSON COUNTY PKWY STE B, MARION, IL 62959-5287
(618) 519-9200
Mailing address
109 CALIFORNIA ST, CARTERVILLE, IL 62918-1923
(618) 519-9200
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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