Shawnee Health, Children's Dental Center - General Care – Federally Qualified Health Center (FQHC), NPI 1356677058

Shawnee Health, Children's Dental Center - General Care is a healthcare provider. based in Carterville, Illinois. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Shawnee Health, Children's Dental Center - General Care is 1356677058

Main info

Organization
Name
Shawnee Health, Children's Dental Center - General Care
NPI
1356677058
Phone
(618) 985-8221
Address
109 CALIFORNIA STREET
Authorized Official
CHRISTINA CARNEY CEO
Enumeration Date
30 October 2009
Last Update Date
10 December 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness90
Years active:16State licenses:0Digital endpoints

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Provider Addresses for Shawnee Health, Children's Dental Center - General Care

  • 109, California Street, Carterville, Williamson County, Illinois, 62918, United States

    PO BOX 577

    CARTERVILLE, IL 629180577

    Phone: (618) 985-8221

    Fax: (618) 985-6860

    Type: Mailing

  • 3115, Williamson County Parkway, Marion, Williamson County, Illinois, 62959, United States

    MARION, IL 629595235

    Phone: (618) 969-8600

    Fax: (618) 997-1214

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62918)

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Reviews

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Frequently asked questions

Can I use this page to confirm Shawnee Health, Children's Dental Center - General Care's NPI?
Yes. Shawnee Health, Children's Dental Center - General Care is listed with NPI 1356677058 in the public NPI dataset.
Is Shawnee Health, Children's Dental Center - General Care listed as active for patients and plans?
The listing shows Shawnee Health, Children's Dental Center - General Care as active in the NPI system.
What is Shawnee Health, Children's Dental Center - General Care's primary classification?
Federally Qualified Health Center (FQHC) is the headline specialty for Shawnee Health, Children's Dental Center - General Care here. Clinical services aligned with this taxonomy classification.
Does Shawnee Health, Children's Dental Center - General Care list a practice location?
Patients near Carterville, Illinois may find Shawnee Health, Children's Dental Center - General Care in results; validate coverage separately.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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