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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

NPI Number 1114234499
LBN Legal business name DALE D. SHAHAN DDS LTD
Authorized official DALE SHAHAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/08/2010
Last updated 09/08/2010 - About 16 years ago
Identifiers
IL License # 019-013067
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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