SMALLTOWN DENTAL KIDS LLC
NPI 1407449762
Dentist - Pediatric Dentistry in Morton, IL

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

The NPI number for Smalltown Dental Kids LLC is 1407449762. It was assigned to this organization in the NPPES registry on February 18, 2021.

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

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since February 18, 2021

1600 S 4TH AVE STE 120, MORTON, IL 61550(309) 263-2781 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Smalltown Dental Kids Llc NPPES

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

SMALLTOWN DENTAL KIDS LLC (NPI 1407449762) is a healthcare organization registered as a pediatric dentistry in Morton, Illinois and active in the NPI registry since February 2021. The organization lists Luke Overcash, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1407449762

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameSMALLTOWN DENTAL KIDS LLC

Location Address1600 S 4TH AVE STE 120Morton, IL 61550-3401

Mailing Address1600 S 4th Ave Ste 120Morton, IL 61550-3401

Phone(309) 263-2781

Organization SubpartYesParent: Smalltown Dental Management Llc

Authorized OfficialLuke OvercashOperations Manager · (309) 370-5853

Enumeration DateFebruary 18, 2021

NPPES CertifiedFebruary 18, 2021

✔ NPI 1407449762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1600 S 4TH AVE STE 120, Morton, IL 61550

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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.

ANDREW BURTON DDS

Dentist (General Practice)

1600 S 4TH AVE STE 120
MORTON, IL 61550

Tazewell County (309) 733-7700

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 Kids LLC's NPI number?

The NPI number for Smalltown Dental Kids LLC is 1407449762. It was assigned to this organization in the NPPES registry on February 18, 2021.

Where is Smalltown Dental Kids LLC located?

Smalltown Dental Kids LLC is located at 1600 S 4th Ave Ste 120, Morton, IL 61550. The listed phone number is (309) 263-2781.

What is Smalltown Dental Kids LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Smalltown Dental Kids LLC was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.