Smalltown Dental On Fourth Llc

LBN: Smalltown Dental On Fourth Llc
Smalltown Dental On Fourth Llc is an health care organization with primary practice located at 1600 S 4Th Ave Ste 110 , Morton IL 61550-3401. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Smalltown Dental On Fourth Llc can be contacted via phone (309) 263-2781, or through Overcash, Luke via phone (309) 370-5853.

Contact Information

Primary practice address
1600 S 4Th Ave Ste 110 Morton IL 61550-3401
Phone: (309) 263-2781
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Overcash, Luke
Phone: (309) 370-5853

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1427775089
LBN Legal business name Smalltown Dental On Fourth Llc
DBA Doing business as
Authorized official Overcash, Luke
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 25th, 2022
Last updated Oct 25th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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