Shawnee Health Care, Carbondale Dental 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 Care, Carbondale Dental is Patsy Jensen
who is C. E. O. of the clinic and their contact number is 618-985-8221. Shawnee Health Care, Carbondale Dental 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 Care, Carbondale Dental 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 Care, Carbondale Dental
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:
Patsy Jensen
Position:
C. E. O.
Contact Number:
618-985-8221
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 Care, Carbondale Dental 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:
23 Dec, 2016
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 Care, Carbondale Dental 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
019028089
Medicaid
Illinois
019027984
Medicaid
Illinois
019028149
Medicaid
Illinois
019028752
Medicaid
Illinois
019028085
Medicaid
Illinois
019028144
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 Care, Carbondale Dental 109 California St, Po Box 577 Carterville, Illinois
Zip:
62918-1923
Phone Number:
618-985-8221
Patients can reach Shawnee Health Care, Carbondale Dental at 402 S. Lewis Lane, Carbondale, Illinois or can call to book an appointment on 618-519-9901. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.