SMALLTOWN DENTAL PEKIN LLC
NPI 1376160085
Dentist - General Practice in Pekin, IL

Q: What is Smalltown Dental Pekin LLC's NPI number?

The NPI number for Smalltown Dental Pekin LLC is 1376160085. It was assigned to this organization in the NPPES registry on June 29, 2020.

Q: What is Smalltown Dental Pekin LLC's specialty?

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

Active since June 29, 2020

3 OLT AVE, PEKIN, IL 61554(309) 353-2454 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Smalltown Dental Pekin Llc NPPES

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

SMALLTOWN DENTAL PEKIN LLC (NPI 1376160085) is a healthcare organization registered as a general practice in Pekin, Illinois and active in the NPI registry since June 2020. The organization lists Luke Overcash, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1376160085

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSMALLTOWN DENTAL PEKIN LLC

Location Address3 OLT AVEPekin, IL 61554-6214

Mailing Address3 Olt AvePekin, IL 61554-6214 · (309) 353-2454

Phone(309) 353-2454

Organization SubpartYesParent: Smalltown Dental Management Llc

Authorized OfficialLuke OvercashOperations Manager · (309) 370-5853

Enumeration DateJune 29, 2020

NPPES CertifiedJune 29, 2020

✔ NPI 1376160085 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.

3 OLT AVE, Pekin, IL 61554

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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

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

DR. GARY ALAN GUENGERICH DDS

Dentist (General Practice)

3 OLT AVE
PEKIN, IL 61554

Tazewell County (309) 353-2454

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 Pekin LLC's NPI number?

The NPI number for Smalltown Dental Pekin LLC is 1376160085. It was assigned to this organization in the NPPES registry on June 29, 2020.

Where is Smalltown Dental Pekin LLC located?

Smalltown Dental Pekin LLC is located at 3 Olt Ave, Pekin, IL 61554. The listed phone number is (309) 353-2454.

What is Smalltown Dental Pekin LLC'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 Pekin LLC was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.