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Shawnee Health Service & Development Corp
Federally Qualified Health Center (FQHC) in Carbondale, Illinois
NPI 1174859870

Shawnee Health Service & Development Corp is a Federally Qualified Health Center (FQHC) based in Carterville, IL and is specialized in Federally Qualified Health Center (FQHC). Shawnee Health Service & Development Corp practices in Carbondale, IL. The NPI Number for Shawnee Health Service & Development Corp is 1174859870 and holds a License No. (Illinois).

The current practice location address for Shawnee Health Service & Development Corp is 402 S. Lewis Lane, Carbondale, IL and can be reached out via phone at 618-519-9901. You can also correspond with Shawnee Health Service & Development Corp through the mailing address at 109 CALIFORNIA ST, CARTERVILLE, IL - 62918-1923 (mailing address contact number: 618-985-8221).

Location: 402 S. Lewis Lane, Carbondale, IL, 62918-1923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174859870
Provider Name
Shawnee Health Service & Development Corp
Credential
Provider Entity Type
Organization
Address
402 S. Lewis Lane, Carbondale, IL, 62918-1923
Phone Number
618-519-9901
Fax Number
Provider Enumeration Date
10/30/2009
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019028144 05 IL
019027984 05 IL
019028085 05 IL
019028089 05 IL
019028149 05 IL
019028752 05 IL
institution
Provider Business Practice Location Address Details
Address
402 S. Lewis Lane
City
Carbondale
State
Illinois
Zip
62901
Phone Number
618-519-9901
Fax Number
person
Provider Business Mailing Address Details
Address
402 S. Lewis Lane
City
Carbondale
State
Illinois
Zip
62901
Phone Number
618-519-9901
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
()
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
(Illinois)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
(Illinois)
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
person
Provider's Taxonomy Details 4
Type
Dental Providers
Classification
Dental Assistant
Speciality
-
Taxonomy
126800000X
License No.
(Illinois)
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
(Illinois)
Definition
Definition to come...
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