SMALLTOWN DENTAL GLEN LLC
NPI 1477148179
Dentist - General Practice in Peoria, IL
- Organization
- Dentist
- General Practice
About SMALLTOWN DENTAL GLEN LLC
This page provides the complete NPI Profile along with additional information for Smalltown Dental Glen Llc, a provider established in Peoria, Illinois operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1477148179 assigned on March 2021. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Smalltown Dental Glen Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Luke Overcash (Operations Manager)
- NPI
- 1477148179 Verify this NPI
- Provider Name
- SMALLTOWN DENTAL GLEN LLC
- Entity Type
- Organization
- Location Address
- 2015 W GLEN AVE STE 230 PEORIA, IL 61614
- Location Phone
- (309) 673-4616
- Mailing Address
- 1600 S 4TH AVE STE 110 MORTON, IL 61550
- Mailing Phone
- (309) 370-5853
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-04-2021
- Last Update Date
- 03-04-2021
- Code Navigator
A dentist like Smalltown Dental Glen Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477148179, enumerated as an "organization" on March 04, 2021.
The provider is located at 2015 W GLEN AVE STE 230 PEORIA, IL 61614 and the phone number is (309) 673-4616.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
