OrganizationActive
Shawnee Health Service and Development Corp
NPI 1164385753 · Pediatric Dentistry · Marion, IL
Shawnee Health Service and Development Corp is a Pediatric Dentistry organization in Marion, IL (NPI 1164385753).
Provider details
- NPI number
- 1164385753
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Parent organization
- Shawnee Health Service and Development Corp
- Organization subpart
- Yes
- Authorized official
- Christina Carney, Ceo(618) 985-8221
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3115 Williamson County Pkwy Ste B
Marion, IL 62959-5287
Phone: (618) 519-9200
Street-level locationGet directions
Mailing address
109 California St
Carterville, IL 62918-1923
Other names (DBA / former)
- Doing business as
- Shawnee Health, Children'S Dental Center - Advanced Care
Registry dates
- Enumerated
- 2025-12-09
- Last updated
- 2025-12-09
- Certified
- 2025-12-09
Frequently asked questions
- What is Shawnee Health Service and Development Corp's NPI number?
- Shawnee Health Service and Development Corp's National Provider Identifier (NPI) is 1164385753, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shawnee Health Service and Development Corp?
- Shawnee Health Service and Development Corp is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Shawnee Health Service and Development Corp located?
- Shawnee Health Service and Development Corp's practice location on file with NPPES is 3115 Williamson County Pkwy Ste B, Marion, IL 62959-5287.
- What is Shawnee Health Service and Development Corp's phone number?
- The practice phone number listed in the NPPES registry for Shawnee Health Service and Development Corp is (618) 519-9200.
- Who is the authorized official for Shawnee Health Service and Development Corp?
- The authorized official listed on Shawnee Health Service and Development Corp's NPPES record is Christina Carney, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shawnee Health Service and Development Corp's NPI active?
- Yes — Shawnee Health Service and Development Corp's NPI (1164385753) is active in the NPPES registry as of the last update on 2025-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.