Smalltown Dental Kids LLC
NPI #1407449762 in Morton, Illinois
Provider Information
- NPI Number
- 1407449762
- Entity Type
- Organization
- Organization Name
- Smalltown Dental Kids LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SMALLTOWN DENTAL MANAGEMENT LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Feb 18, 2021
- Last Updated
- Feb 18, 2021
Practice Location
Authorized Official
- Name
- LUKE OVERCASH
- Title
- OPERATIONS MANAGER
- Phone
- (309) 370-5853
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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