# SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

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- **Entity:** Organization
- **Status:** 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:** 1164385753
- **Legal business name:** SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
- **Authorized official:** CHRISTINA CARNEY (CEO)
- **Authorized official phone:** (618) 985-8221

## Contact information

- **Practice address:** 3115 WILLIAMSON COUNTY PKWY STE B, MARION, IL 62959-5287
- **Practice address phone:** (618) 519-9200
- **Mailing address:** 109 CALIFORNIA ST, CARTERVILLE, IL 62918-1923
- **Mailing address phone:** (618) 519-9200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2025
- **Last updated:** 12/09/2025