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Contact Information

DALE D. SHAHAN DDS LTD
636 HAMPSHIRE SUITE 102
QUINCY, IL62301
 Phone: 217-228-0101
 Fax: 217-222-7011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for DALE D SHAHAN DDS LTD · (Female)

NPI # 1114234499
Status Active
Credentials
Entity Individual
Enumeration date 09/08/2010
Last updated 09/08/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 019-013067
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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