OrganizationActive
Smalltown Dental Atlanta
NPI 1417515453 · Dental Clinic/Center · Atlanta, IL
Provider details
- NPI number
- 1417515453
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Smalltown Dental Management LLC
- Organization subpart
- Yes
- Authorized official
- Luke Overcash, Operations Manager(309) 370-5853
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
205 S Race St
Atlanta, IL 61723-7586
Phone: (217) 648-2828
Street-level locationGet directions
Mailing address
Po Box 445
Atlanta, IL 61723-0445
Registry dates
- Enumerated
- 2019-06-04
- Last updated
- 2020-06-29
- Certified
- 2020-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.