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Dr. Dale Dawson Shahan, DDS
Oral and Maxillofacial Surgery (Dentist) in Quincy, Illinois
NPI 1326372574

Dale Dawson Shahan is a Oral and Maxillofacial Surgery (Dentist) based in Quincy, IL and is specialized in Oral and Maxillofacial Surgery. Dale Dawson Shahan practices in Quincy, IL and has the professional credentials of DDS. The NPI Number for Dale Dawson Shahan is 1326372574 and holds a License No. 019.013067 (Illinois).

The current practice location address for Dale Dawson Shahan is 636 Hampshire St Ste 102, Quincy, IL and can be reached out via phone at 217-228-0101 and via fax at 217-222-7011.

Location: 636 Hampshire St Ste 102, Quincy, IL, 62301-3054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326372574
Provider Name
Dale Dawson Shahan
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
636 Hampshire St Ste 102, Quincy, IL, 62301-3054
Phone Number
217-228-0101
Fax Number
217-222-7011
Provider Enumeration Date
09/21/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
636 Hampshire St Ste 102
City
Quincy
State
Illinois
Zip
62301-3054
Phone Number
217-228-0101
Fax Number
217-222-7011
person
Provider Business Mailing Address Details
Address
636 Hampshire St Ste 102
City
Quincy
State
Illinois
Zip
62301-3054
Phone Number
217-228-0101
Fax Number
217-222-7011
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
021.000729 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
019.013067 (Illinois)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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