Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184233934 Individual Practitioner Female Practitioner

Dr. Shawna Jade Perry , DMD

Dentist - General Practice • Shiloh, IL

Professional Overview & Biography Verified Profile Summary

Dr. Shawna Perry, DMD is a registered healthcare professional specializing in Dentist - General Practice in Shiloh, IL. Practice services are available at 309 TAMARACK LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

309 Tamarack Ln

Shiloh, IL 622692993

Telephone 6186247200

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Shiloh, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Shiloh, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019032732

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MO 2020018229

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

500 Fullerton Rd

Swansea, IL 622262970

Phone: 6182493434

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Samantha Scoma , DMD

Student in an Organized Health Care Education/Training Program

NPI 1386570307

Doctor of Dental Medicine

NPI 1730015975

Doctor of Dental Medicine

NPI 1912524596

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated October 14, 2025

Recorded as SHAWNA PERRY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2025

Dentist (License #2020018229 in MO)

NPI Profile Active July 28, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2020

Registered at 309 TAMARACK LN, SHILOH, IL 622692993 (Tel: 6186247200)

📍
Updated Business Mailing Address July 28, 2020

Registered at 4424 VISTA AVE, SAINT LOUIS, MO 631102136

👤
Provider Name / Credentials Updated July 28, 2020

Recorded as SHAWNA DUDOVITZ, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2020

Dentist (License #019032732 in IL)

🟢
Initial NPI Registration & Enumeration July 28, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184233934
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2020
Last Update: October 14, 2025
Sole Proprietor: No

Mailing Address

4424 Vista Ave

Saint Louis, MO 631102136

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.