Smalltown Dental Atlanta
NPI #1417515453 in Atlanta, Illinois
Provider Information
- NPI Number
- 1417515453
- Entity Type
- Organization
- Organization Name
- Smalltown Dental Atlanta
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SMALLTOWN DENTAL MANAGEMENT LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 4, 2019
- Last Updated
- Jun 29, 2020
Practice Location
Authorized Official
- Name
- LUKE OVERCASH
- Title
- OPERATIONS MANAGER
- Phone
- (309) 370-5853
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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