Shahan, Dale Dawson

Shahan, Dale Dawson is an sole proprietor health care provider with primary practice located at 636 Hampshire St Ste 102 , Quincy IL 62301-3054. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Shahan, Dale Dawson can be contacted via phone (217) 228-0101.

Contact Information

Primary practice address
636 Hampshire St Ste 102 Quincy IL 62301-3054
Phone: (217) 228-0101
Fax: (217) 222-7011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019.013067 Illinois
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 021.000729 Illinois

Profile Details

NPI number 1326372574
LBN Legal business name Shahan, Dale Dawson
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2009
Last updated Sep 21st, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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