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Organization

SMALLTOWN DENTAL WASHINGTON PLLC

Active
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Organization

SMALLTOWN DENTAL WASHINGTON PLLC

Active
Parent organization
SMALLTOWN DENTAL MANAGEMENT LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SMALLTOWN DENTAL MANAGEMENT LLC
Authorized official
LUKE OVERCASH (CIO)
(309) 370-5853
Entity
Organization

Contact information

Practice address
101 EASTGATE DR, WASHINGTON, IL 61571-9237
(309) 370-5853
Mailing address
101 EASTGATE DR, WASHINGTON, IL 61571-9237

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Enumeration date
01/09/2026
Last updated
01/09/2026
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