Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Smalltown Dental Atlanta

Organization Dental Clinic/Center · NPI 1417515453

Smalltown Dental Atlanta is a Dental Clinic/Center in Atlanta, Illinois. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

205 S Race St
Atlanta, IL 61723-7586
Phone: (217) 648-2828
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1417515453
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSmalltown Dental Management LLC
Authorized official Luke Overcash — Operations Manager · (309) 370-5853
NPI enumeratedJune 4, 2019
Last updated in NPPESJune 29, 2020
Certification dateJune 29, 2020
Mailing addressPo Box 445, Atlanta, IL 61723-0445