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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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