Smalltown Dental Pekin Llc

LBN: Smalltown Dental Pekin Llc
Smalltown Dental Pekin Llc is an health care organization with primary practice located at 3 Olt Ave , Pekin IL 61554-6214. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Smalltown Dental Pekin Llc can be contacted via phone (309) 353-2454, or through Overcash, Luke via phone (309) 370-5853.

Contact Information

Primary practice address
3 Olt Ave Pekin IL 61554-6214
Phone: (309) 353-2454
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 1376160085
LBN Legal business name Smalltown Dental Pekin Llc
DBA Doing business as
Authorized official Overcash, Luke
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 29th, 2020
Last updated Jun 29th, 2020 - about 5 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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