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Organization
SMALLTOWN DENTAL ATLANTA
Active
Organization
SMALLTOWN DENTAL ATLANTA
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 (OPERATIONS MANAGER)
(309) 370-5853
Entity
Organization
Contact information
Practice address
205 S RACE ST, ATLANTA, IL 61723-7586
(217) 648-2828
Mailing address
PO BOX 445, ATLANTA, IL 61723-0445
(217) 648-2828
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
06/29/2020
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