DALE D. SHAHAN DDS LTD


Address: 636 Hampshire Suite 102, Quincy, IL 62301
Phone: 2172280101

DALE D. SHAHAN DDS LTD (NPI# 1114234499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114234499
Entity Type Organization
Organization Name DALE D. SHAHAN DDS LTD
Practice Address 636 Hampshire Suite 102
Quincy
IL 62301
Practice Telephone 2172280101
Practice Fax Number 2172227011
Mailing Telephone 2172280101
Mailing Fax Number 2172227011
Enumeration Date 2010-09-08
Last Update Date 2010-09-08
Authorized Official Name DR. DALE D. SHAHAN (OWNER)
Authorized Official Telephone 2172280101
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 019-013067 IL Dental Providers

Office Location

Street Address 636 HAMPSHIRE SUITE 102
City QUINCY
State IL
Zip Code 62301

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1356969471 Lutheran Child and Family Service of Illinois Foster Care Agency 1400 N. 30th St, Quincy, IL 62301 2020-07-07
1134749716 Bethany Nicole Jumps Pharmacist Broadway St & N 11th St, Quincy, IL 62301 2020-04-23
1043844293 S.crider Construction An Supply Corp. Contractor 529 Woodbridge Dr., Quincy, IL 62301 2020-02-26
1245862002 Quincy Physicians & Surgeons Clinic, Sc Clinic/Center 3301 Broadway St., Quincy, IL 62301 2020-02-10
1043851488 West Central Illinois Nutrition In Home Supportive Care 639 York St. Room 333, Quincy, IL 62301 2019-10-07
1861986549 Quincy Physicians & Surgeons Clinic, Sc Internal Medicine 3347 Broadway St, Quincy, IL 62301 2018-06-18
1194255083 Michael Andrew Behrens Nurse Practitioner Broadway and 11th Street, Quincy, IL 62301 2017-06-14
1770987323 Kirsty Yvonne Reed Counselor 205 S. 24th Street, Chaddock, Quincy, IL 62301 2014-10-10
1730314071 James D Kaufmann Pharmacist 14th & Broadway, Quincy, IL 62301 2009-05-15
1467686873 Eric R Martin Pharmacist Broadway At 14th St., Quincy, IL 62301 2009-05-13
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497352744 Shahad Hadadi Dentist 2 Hancock St Apt 504, Quincy, MA 02171-1769 2020-10-08
1245837152 Marwan S Al-daggistany Dentist 1 Crown Dr Unit 101, Quincy, MA 02169-5474 2020-10-04
1851908180 Dan Faibish Dentist 16 Willow St, Quincy, MA 02170-2013 2020-09-30
1275141764 Jonathan R. Pyle Dentist 2801 Broadway St Ste 400, Quincy, IL 62301-3663 2020-07-21
1891313524 Alireza Khoshnoodi Dentist 1 Avalon Dr, Quincy, MA 02169-2462 2020-07-09
1336781533 Micheal Abboud Dentist 1372 Hancock St Ste 101, Quincy, MA 02169-5107 2019-10-09
1700448099 Nicole Jeziorski Dentist 407 S 48th St, Quincy, IL 62305-9102 2019-07-08
1790341873 Fernanda Becker-cabral Dentist 353 Sea St, Quincy, MA 02169-2707 2019-05-14
1396236642 Matthew Edward Coletti Dentist 111 Willard St Ste 1a, Quincy, MA 02169-1200 2018-05-22
1902318363 Ahmed Sameer Znad Mihyawi Dentist 2 Hancock St Apt 926, Quincy, MA 02171-1772 2017-10-25
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Competitor

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City QUINCY
Zip Code 62301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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