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SMALLTOWN DENTAL RIVER CITY PLLC
NPI 1881543171
Dentist - General Practice in Peoria, IL

Active since January 28, 2026
521 W LAKE AVE, PEORIA, IL 61614(309) 682-0770 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Smalltown Dental River City Pllc NPPES

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

SMALLTOWN DENTAL RIVER CITY PLLC (NPI 1881543171) is a healthcare organization registered as a general practice in Peoria, Illinois and active in the NPI registry since January 2026. The organization lists Luke Overcash, Cio, as its authorized official.

NPPES Registry Identity

NPI1881543171
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMALLTOWN DENTAL RIVER CITY PLLC
Location Address521 W LAKE AVEPeoria, IL 61614-6020
Mailing Address1600 S 4th Ave Ste 110Morton, IL 61550-3401
Phone(309) 682-0770
Organization SubpartYesParent: Smalltown Dental Management Llc
Authorized OfficialLuke OvercashCio · (309) 370-5853
Enumeration DateJanuary 28, 2026
NPPES CertifiedJanuary 28, 2026
✔ NPI 1881543171 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.
521 W LAKE AVE, Peoria, IL 61614
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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 3

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

DR. PAUL & DR. ANDERSON, DENTAL PC
Dentist (General Practice)
521 W LAKE AVE
PEORIA, IL 61614
Peoria County (309) 682-0770
DR. SCOTT WILLIAM ANDERSON DDS
Dentist (General Practice)
521 W LAKE AVE
PEORIA, IL 61614
Peoria County (309) 682-0770
DR. ROGER LOUIS PAUL DMD
Dentist (General Practice)
521 W LAKE AVE
PEORIA, IL 61614
Peoria County (309) 682-0770

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 River City PLLC's NPI number?

The NPI number for Smalltown Dental River City PLLC is 1881543171. It was assigned to this organization in the NPPES registry on January 28, 2026.

Where is Smalltown Dental River City PLLC located?

Smalltown Dental River City PLLC is located at 521 W Lake Ave, Peoria, IL 61614. The listed phone number is (309) 682-0770.

What is Smalltown Dental River City 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 River City PLLC was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.