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

Smalltown Dental Peoria LLC

Organization General Practice Dentistry · NPI 1558962795

Smalltown Dental Peoria LLC is a General Practice Dentistry in Peoria, Illinois. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2106 N Knoxville Ave
Peoria, IL 61603-2417
Phone: (309) 685-3814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1558962795
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSmalltown Dental Management LLC
Authorized official Luke Overcash — Operations Manager · (309) 370-5853
Other names Smalltown Dental Peoria
NPI enumeratedNovember 4, 2020
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing address17471 Moore Rd, Morton, IL 61550-9222

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