SMALLTOWN DENTAL ATLANTA
NPI 1417515453
Clinic/Center - Dental in Atlanta, IL

Q: What is Smalltown Dental Atlanta's NPI number?

The NPI number for Smalltown Dental Atlanta is 1417515453. It was assigned to this organization in the NPPES registry on June 4, 2019.

Q: What is Smalltown Dental Atlanta's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since June 04, 2019

205 S RACE ST, ATLANTA, IL 61723(217) 648-2828 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 29, 2020, Jun 4, 2019 (2 updates tracked since 2019).

On this page

About Smalltown Dental Atlanta NPPES

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

SMALLTOWN DENTAL ATLANTA (NPI 1417515453) is a healthcare organization registered as a dental in Atlanta, Illinois and active in the NPI registry since June 2019. The organization lists Luke Overcash, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1417515453

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameSMALLTOWN DENTAL ATLANTA

Location Address205 S RACE STAtlanta, IL 61723-7586

Mailing AddressPo Box 445Atlanta, IL 61723-0445 · (217) 648-2828

Phone(217) 648-2828

Organization SubpartYesParent: Smalltown Dental Management Llc

Authorized OfficialLuke OvercashOperations Manager · (309) 370-5853

Enumeration DateJune 4, 2019

Last NPPES UpdateJune 29, 20202 updates tracked since enumeration

NPPES CertifiedJune 29, 2020

✔ NPI 1417515453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

205 S RACE ST, Atlanta, IL 61723

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

GABRIELLE COE DMD

Dentist (General Practice)

205 S RACE ST
ATLANTA, IL 61723

Logan County (217) 648-2828

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 Atlanta's NPI number?

The NPI number for Smalltown Dental Atlanta is 1417515453. It was assigned to this organization in the NPPES registry on June 4, 2019.

Where is Smalltown Dental Atlanta located?

Smalltown Dental Atlanta is located at 205 S Race St, Atlanta, IL 61723. The listed phone number is (217) 648-2828.

What is Smalltown Dental Atlanta's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Smalltown Dental Atlanta 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.