1. Home
  2. Directory
  3. Illinois
  4. Morton
  5. Dentist
  6. NPI Profile

SMALLTOWN DENTAL ON FOURTH LLC
NPI 1427775089
Dentist - General Practice in Morton, IL

Active since October 25, 2022
1600 S 4TH AVE STE 110, MORTON, IL 61550(309) 263-2781 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Smalltown Dental On Fourth Llc NPPES

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

SMALLTOWN DENTAL ON FOURTH LLC (NPI 1427775089) is a healthcare organization registered as a general practice in Morton, Illinois and active in the NPI registry since October 2022. The organization lists Luke Overcash, Cio, as its authorized official.

NPPES Registry Identity

NPI1427775089
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMALLTOWN DENTAL ON FOURTH LLC
Location Address1600 S 4TH AVE STE 110Morton, IL 61550-3401
Mailing Address1600 S 4th Ave Ste 110Morton, IL 61550-3401 · (309) 263-2781
Phone(309) 263-2781
Organization SubpartYesParent: Smalltown Dental Management Llc
Authorized OfficialLuke OvercashCio · (309) 370-5853
Enumeration DateOctober 25, 2022
NPPES CertifiedOctober 25, 2022
✔ NPI 1427775089 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.
1600 S 4TH AVE STE 110, Morton, IL 61550
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 3

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

ERIKA KAY LONG D.D.S.
Dentist
1600 S 4TH AVE STE 110
MORTON, IL 61550
Tazewell County (309) 263-2781
DR. SETH BRAKER DMD
Dentist (General Practice)
1600 S 4TH AVE STE 110
MORTON, IL 61550
Tazewell County (309) 263-2781
KATHERINE ANNE HENDERSON DMD
Dentist (General Practice)
1600 S 4TH AVE STE 110
MORTON, IL 61550
Tazewell County (309) 263-2781

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 On Fourth LLC's NPI number?

The NPI number for Smalltown Dental On Fourth LLC is 1427775089. It was assigned to this organization in the NPPES registry on October 25, 2022.

Where is Smalltown Dental On Fourth LLC located?

Smalltown Dental On Fourth LLC is located at 1600 S 4th Ave Ste 110, Morton, IL 61550. The listed phone number is (309) 263-2781.

What is Smalltown Dental On Fourth 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 On Fourth LLC was last updated on October 25, 2022. 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.