Shawnee Health Service & Development Corp is a Dental Clinic in Carbondale, Illinois. This organization is also known as sub part of Shawnee Health Service And Development Corp. It is located at 402 S. Lewis Lane, Carbondale, IL and its contact number is 618-519-9901. The authorized person for Shawnee Health Service & Development Corp is Christina Carney
who is Ceo of the clinic and their contact number is 618-956-9521.
Shawnee Health Service & Development Corp Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Shawnee Health Service & Development Corp Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Shawnee Health Service & Development Corp |
| Specialization: | Dentistry |
| Clinic Address: | 402 S. Lewis Lane, Carbondale,
Illinois, 62901 |
| Phone: | 618-519-9901 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Christina Carney |
| Position: | Ceo |
| Contact Number: | 618-956-9521 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Shawnee Health Service & Development Corp clinic are as mentioned below.
| NPI Number: | 1174859870 |
| Parent Organization: | Shawnee Health Service And Development Corp |
| NPI Enumeration Date: | 30 Oct, 2009 |
| NPI Last Update On: | 04 Apr, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shawnee Health Service & Development Corp are as mentioned below.
| Specialization | License Number | State | Status | |
| Federally Qualified Health Center (FQHC) | | | Primary | |
| Dentist | | Illinois | Secondary | |
| Pediatric Dentistry | | Illinois | Secondary | |
| Dental Hygienist | | Illinois | Secondary | |
| Dental Assistant | | Illinois | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 019028144 | Medicaid | Illinois | |
| 019027984 | Medicaid | Illinois | |
| 019028085 | Medicaid | Illinois | |
| 019028089 | Medicaid | Illinois | |
| 019028149 | Medicaid | Illinois | |
| 019028752 | Medicaid | Illinois | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shawnee Health Service & Development Corp
109 California St, Po Box 577
Carterville, Illinois |
| Zip: | 62918-1923 |
| Phone Number: | 618-985-8221 |
Patients can reach Shawnee Health Service & Development Corp at
402 S. Lewis Lane, Carbondale, Illinois or can
call to book an appointment on 618-519-9901.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.