OrganizationActive
Smalltown Dental Kids LLC
NPI 1407449762 · Pediatric Dentistry · Morton, IL
Provider details
- NPI number
- 1407449762
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Parent organization
- Smalltown Dental Management LLC
- Organization subpart
- Yes
- Authorized official
- Luke Overcash, Operations Manager(309) 370-5853
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1600 S 4th Ave Ste 120
Morton, IL 61550-3401
Phone: (309) 263-2781
Street-level locationGet directions
Mailing address
1600 S 4th Ave Ste 120
Morton, IL 61550-3401
Registry dates
- Enumerated
- 2021-02-18
- Last updated
- 2021-02-18
- Certified
- 2021-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.