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Organization
SMALLTOWN DENTAL CHILLICOTHE LLC
Active
Organization
SMALLTOWN DENTAL CHILLICOTHE LLC
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
1008 N 4TH ST STE B, CHILLICOTHE, IL 61523-1574
(309) 274-3820
Mailing address
17471 MOORE RD, MORTON, IL 61550-9222
(309) 370-5853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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