Smalltown Dental River City Pllc

NPI #1881543171 in Peoria, Illinois

Provider Information

NPI Number: 1881543171
Entity Type: Organization
Organization Name: Smalltown Dental River City Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: SMALLTOWN DENTAL MANAGEMENT LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 28, 2026
Last Updated: Jan 28, 2026

Practice Location

Address: 521 W LAKE AVE
City: Peoria
State: Illinois
ZIP Code: 61614-6020
Phone: (309) 682-0770

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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