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
—
—
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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