1. Home
  2. Directory
  3. Illinois
  4. Jacksonville
  5. Dentist
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SMALLTOWN DENTAL JACKSONVILLE PLLC
NPI 1043127707
Dentist - General Practice in Jacksonville, IL

Active since August 26, 2026
505 W COLLEGE AVE, JACKSONVILLE, IL 62650(217) 245-5319 Get Directions Write a Review

NPPES record added: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Smalltown Dental Jacksonville Pllc NPPES

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

SMALLTOWN DENTAL JACKSONVILLE PLLC (NPI 1043127707) is a healthcare organization registered as a general practice in Jacksonville, Illinois and active in the NPI registry since August 2026. The organization lists Luke Overcash, Cio, as its authorized official.

NPPES Registry Identity

NPI1043127707
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMALLTOWN DENTAL JACKSONVILLE PLLC
Location Address505 W COLLEGE AVEJacksonville, IL 62650-2405
Mailing Address1600 S 4th Ave Ste 110Morton, IL 61550-3401
Phone(217) 245-5319
Organization SubpartYesParent: Smalltown Dental Management Llc
Authorized OfficialLuke OvercashCio · (309) 370-5853
Enumeration DateAugust 26, 2026
NPPES CertifiedAugust 26, 2026
✔ NPI 1043127707 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.
505 W COLLEGE AVE, Jacksonville, IL 62650
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. RANDALL EVERT LAWSON D.D.S.
Dentist (General Practice)
505 W COLLEGE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 245-5319
COLLEGE AVENUE DENTAL SLEEP APPLIANCES LTD.
Durable Medical Equipment & Medical Supplies
505 W COLLEGE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 245-5313

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 Jacksonville PLLC's NPI number?

The NPI number for Smalltown Dental Jacksonville PLLC is 1043127707. It was assigned to this organization in the NPPES registry on August 26, 2026.

Where is Smalltown Dental Jacksonville PLLC located?

Smalltown Dental Jacksonville PLLC is located at 505 W College Ave, Jacksonville, IL 62650. The listed phone number is (217) 245-5319.

What is Smalltown Dental Jacksonville PLLC'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 Jacksonville PLLC was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.