OrganizationActive
Smalltown Dental Glen LLC
NPI 1477148179 · General Practice Dentistry · Peoria, IL
Smalltown Dental Glen LLC is a General Practice Dentistry organization in Peoria, IL (NPI 1477148179).
Provider details
- NPI number
- 1477148179
- Entity type
- Organization
- Primary specialty
- General Practice 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
2015 W Glen Ave Ste 230
Peoria, IL 61614-4691
Phone: (309) 673-4616
Street-level locationGet directions
Mailing address
1600 S 4th Ave Ste 110
Morton, IL 61550-3401
Registry dates
- Enumerated
- 2021-03-04
- Last updated
- 2021-03-04
- Certified
- 2021-03-04
Frequently asked questions
- What is Smalltown Dental Glen LLC's NPI number?
- Smalltown Dental Glen LLC's National Provider Identifier (NPI) is 1477148179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Smalltown Dental Glen LLC?
- Smalltown Dental Glen LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Smalltown Dental Glen LLC located?
- Smalltown Dental Glen LLC's practice location on file with NPPES is 2015 W Glen Ave Ste 230, Peoria, IL 61614-4691.
- What is Smalltown Dental Glen LLC's phone number?
- The practice phone number listed in the NPPES registry for Smalltown Dental Glen LLC is (309) 673-4616.
- Who is the authorized official for Smalltown Dental Glen LLC?
- The authorized official listed on Smalltown Dental Glen LLC's NPPES record is Luke Overcash, Operations Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Smalltown Dental Glen LLC's NPI active?
- Yes — Smalltown Dental Glen LLC's NPI (1477148179) is active in the NPPES registry as of the last update on 2021-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.