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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019-013067 | IL | Dental Providers |
| Street Address |
636 HAMPSHIRE SUITE 102 |
| City | QUINCY |
| State | IL |
| Zip Code | 62301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| 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 |
| Find all providers in QUINCY | ||||
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| 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.