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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SMALLTOWN DENTAL OTTAWA PLLC
NPI 1750216834
Dentist - General Practice in Ottawa, IL

Active since June 17, 2026
1300 STARFIRE DR, OTTAWA, IL 61350(815) 433-3413 Get Directions Write a Review

NPPES record added: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Smalltown Dental Ottawa Pllc NPPES

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

SMALLTOWN DENTAL OTTAWA PLLC (NPI 1750216834) is a healthcare organization registered as a general practice in Ottawa, Illinois and active in the NPI registry since June 2026. The organization lists Luke Overcash, Cio, as its authorized official.

NPPES Registry Identity

NPI1750216834
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMALLTOWN DENTAL OTTAWA PLLC
Location Address1300 STARFIRE DROttawa, IL 61350-1624
Mailing Address1600 S 4th Ave Ste 110Morton, IL 61550-3401
Phone(815) 433-3413
Organization SubpartYesParent: Smalltown Dental Management Llc
Authorized OfficialLuke OvercashCio · (309) 370-5853
Enumeration DateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1750216834 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.
1300 STARFIRE DR, Ottawa, IL 61350
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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 4

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

DR. MICHELL B. MYERS D.M.D., P.C.
Dentist (General Practice)
1300 STARFIRE DR
OTTAWA, IL 61350
Lasalle County (815) 433-3413
WOMENS HEALTHCARE PARTNERS OF ILLINOIS
Obstetrics & Gynecology
1300 STARFIRE DR, SUITE B
OTTAWA, IL 61350
Lasalle County (815) 434-2229
TAYLOR BUSHMAN
Dentist (General Practice)
1300 STARFIRE DR
OTTAWA, IL 61350
Lasalle County (815) 433-3413
IDRIES ABDUR-RAHMAN M.D.
Obstetrics & Gynecology
1300 STARFIRE DR, SUITE B
OTTAWA, IL 61350
Lasalle County (815) 434-2229

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 Ottawa PLLC's NPI number?

The NPI number for Smalltown Dental Ottawa PLLC is 1750216834. It was assigned to this organization in the NPPES registry on June 17, 2026.

Where is Smalltown Dental Ottawa PLLC located?

Smalltown Dental Ottawa PLLC is located at 1300 Starfire Dr, Ottawa, IL 61350. The listed phone number is (815) 433-3413.

What is Smalltown Dental Ottawa PLLC'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 Ottawa PLLC was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.