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

Smalltown Dental Willow Knolls LLC

Organization General Practice Dentistry · NPI 1699365809

Smalltown Dental Willow Knolls LLC is a General Practice Dentistry in Peoria, Illinois. Registered with an NPI since 2021.

In the registry since
2021
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

6712 N Mountello Dr
Peoria, IL 61614-2328
Phone: (309) 691-7855
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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 number1699365809
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSmalltown Dental Management LLC
Authorized official Luke Overcash — Operations Manager · (309) 370-5853
Other names Smalltown Dental Willow Knolls
NPI enumeratedJanuary 21, 2021
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021
Mailing address6712 N Mountello Dr, Peoria, IL 61614-2328

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