Smalltown Dental Chillicothe LLC

NPI #1477214484 in Chillicothe, Illinois

Provider Information

NPI Number
1477214484
Entity Type
Organization
Organization Name
Smalltown Dental Chillicothe LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SMALLTOWN DENTAL MANAGEMENT LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 3, 2022
Last Updated
Jan 3, 2022

Practice Location

Address
1008 N 4TH ST STE B
ZIP Code
61523-1574
Phone
(309) 274-3820

Authorized Official

Name
LUKE OVERCASH
Title
CIO
Phone
(309) 370-5853

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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