Smalltown Dental Tremont

NPI #1770046088 in Tremont, Illinois

Provider Information

NPI Number
1770046088
Entity Type
Organization
Organization Name
Smalltown Dental Tremont
Subpart
Yes (part of a larger organization)
Parent Organization
SMALLTOWN DENTAL MANAGEMENT LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 12, 2019
Last Updated
Jun 29, 2020

Practice Location

Address
140 LAKE ST
ZIP Code
61568-8048
Phone
(309) 925-7851

Authorized Official

Name
LUKE OVERCASH
Title
OPERATIONS MANAGER
Phone
(309) 370-5853

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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