SMALLTOWN DENTAL BLOOMINGTON ON MALONEY
NPI 1023719341
Dentist - General Practice in Bloomington, IL

Active since March 14, 2023
2433 MALONEY DR, BLOOMINGTON, IL 61704(309) 662-9042 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Smalltown Dental Bloomington On Maloney NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMALLTOWN DENTAL BLOOMINGTON ON MALONEY (NPI 1023719341) is a healthcare organization registered as a general practice in Bloomington, Illinois and active in the NPI registry since March 2023. The organization lists Luke Overcash, Cio, as its authorized official.

NPPES Registry Identity

NPI1023719341
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMALLTOWN DENTAL BLOOMINGTON ON MALONEY
Location Address2433 MALONEY DRBloomington, IL 61704-3750
Mailing Address1600 S 4th Ave Ste 110Morton, IL 61550-3401
Organization SubpartYesParent: Smalltown Dental Management Llc
Authorized OfficialLuke OvercashCio · (309) 370-5853
Enumeration DateMarch 14, 2023
NPPES CertifiedMarch 14, 2023
NPI 1023719341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2433 MALONEY DR, Bloomington, IL 61704

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
2433 MALONEY DR
BLOOMINGTON, IL 61704
Dentist (General Practice)
2433 MALONEY DR
BLOOMINGTON, IL 61704
Dentist
2433 MALONEY DR
BLOOMINGTON, IL 61704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smalltown Dental Bloomington On Maloney's NPI number?

The NPI number for Smalltown Dental Bloomington On Maloney is 1023719341. It was assigned to this organization in the NPPES registry on March 14, 2023.

Where is Smalltown Dental Bloomington On Maloney located?

Smalltown Dental Bloomington On Maloney is located at 2433 Maloney Dr, Bloomington, IL 61704. The listed phone number is (309) 662-9042.

What is Smalltown Dental Bloomington On Maloney's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Smalltown Dental Bloomington On Maloney was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.