Shawnee Health Service And Development Corp
Dental Clinic
400 S Lewis Ln, Carbondale
Illinois, 62901-3547
618-519-9900 618-519-9961
Maps & DirectionsShawnee Health Service And 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 400 S Lewis Ln, Carbondale, IL and its contact number is 618-519-9900. The authorized person for Shawnee Health Service And Development Corp is Christina Carney
who is Ceo of the clinic and their contact number is 618-956-9521.
Shawnee Health Service And Development Corp Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Shawnee Health Service And 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 And Development Corp |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 400 S Lewis Ln, Carbondale,
Illinois, 62901-3547 |
| Phone: | 618-519-9900 |
| Fax: | 618-519-9961 |
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 And Development Corp clinic are as mentioned below.
| NPI Number: | 1073745345 |
| Parent Organization: | Shawnee Health Service And Development Corp |
| NPI Enumeration Date: | 20 Aug, 2009 |
| NPI Last Update On: | 17 Jul, 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 And Development Corp are as mentioned below.
| Specialization | License Number | State | Status | |
| Federally Qualified Health Center (FQHC) | | | Primary | |
| General Practice | | | Secondary | |
| Mental Health | | | Secondary | |
| Dental Hygienist | | | Secondary | |
| Clinical | | | Secondary | |
| Family Medicine | | | 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 |
| CF3444 | Other | Illinois | Medicare Rr |
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 And Development Corp
109 California St, Po Box 577
Carterville, Illinois |
| Zip: | 62918-1923 |
| Phone Number: | 618-985-8221 |
| Fax Number: | 618-985-6860 |
Patients can reach Shawnee Health Service And Development Corp at
400 S Lewis Ln, Carbondale, Illinois or can
call to book an appointment on 618-519-9900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.