Organization
SMALLTOWN DENTAL TREMONT
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
140 LAKE ST, TREMONT, IL 61568-8048
(309) 925-7851
Mailing address
140 LAKE ST, TREMONT, IL 61568-8048
(309) 925-7851
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2019
Last updated
06/29/2020
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