Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shawnee Health Service and Development Corp

Organization Pediatric Dentistry · NPI 1164385753

Shawnee Health Service and Development Corp provides Pediatric Dentistry in Marion, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3115 Williamson County Pkwy Ste B
Marion, IL 62959-5287
Phone: (618) 519-9200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1164385753
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationShawnee Health Service and Development Corp
Authorized official Christina Carney — Ceo · (618) 985-8221
Other names Shawnee Health, Children'S Dental Center - Advanced Care
NPI enumeratedDecember 9, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing address109 California St, Carterville, IL 62918-1923

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