| Shawna Jade Dudovitz, DMD | |
|
309 Tamarack Ln, Shiloh, IL 62269-2993 | |
| (618) 624-7200 | |
| Not Available |
| Full Name | Shawna Jade Dudovitz |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 309 Tamarack Ln, Shiloh, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184233934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019032732 (Illinois) | Primary |
| 1223G0001X | Dentist - General Practice | 2020018229 (Missouri) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Shawna Jade Dudovitz, DMD 4424 Vista Ave, Saint Louis, MO 63110-2136 Ph: () - | Shawna Jade Dudovitz, DMD 309 Tamarack Ln, Shiloh, IL 62269-2993 Ph: (618) 624-7200 |
Dr. Abigail Susan Widman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 309 Tamarack Ln, Shiloh, IL 62269 Phone: 618-408-1540 | |
Daisy E Cornell, Dentist Medicare: Not Enrolled in Medicare Practice Location: 301 Tamarack Ln, Shiloh, IL 62269 Phone: 618-632-5566 | |
Dr. Lauren Taylor Flint, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3750 Green Mount Crossing Dr, Shiloh, IL 62269 Phone: 618-530-4546 | |
Dr. Deryl Wayne Drum, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 317 Tamarack Lane, Suite B, Shiloh, IL 62269 Phone: 618-235-1241 Fax: 618-235-7470 | |
Dr. Jeff Kunsemiller, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1219 Thouvenot Ln, Suite 103, Shiloh, IL 62269 Phone: 618-206-8040 Fax: 618-206-8082 |