OrganizationActive
Smalltown Dental Peoria LLC
NPI 1558962795 · General Practice Dentistry · Peoria, IL
Smalltown Dental Peoria LLC is a General Practice Dentistry organization in Peoria, IL (NPI 1558962795).
Provider details
- NPI number
- 1558962795
- 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
2106 N Knoxville Ave
Peoria, IL 61603-2417
Phone: (309) 685-3814
Street-level locationGet directions
Mailing address
17471 Moore Rd
Morton, IL 61550-9222
Other names (DBA / former)
- Doing business as
- Smalltown Dental Peoria
Registry dates
- Enumerated
- 2020-11-04
- Last updated
- 2020-11-04
- Certified
- 2020-11-04
Frequently asked questions
- What is Smalltown Dental Peoria LLC's NPI number?
- Smalltown Dental Peoria LLC's National Provider Identifier (NPI) is 1558962795, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Smalltown Dental Peoria LLC?
- Smalltown Dental Peoria LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Smalltown Dental Peoria LLC located?
- Smalltown Dental Peoria LLC's practice location on file with NPPES is 2106 N Knoxville Ave, Peoria, IL 61603-2417.
- What is Smalltown Dental Peoria LLC's phone number?
- The practice phone number listed in the NPPES registry for Smalltown Dental Peoria LLC is (309) 685-3814.
- Who is the authorized official for Smalltown Dental Peoria LLC?
- The authorized official listed on Smalltown Dental Peoria 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 Peoria LLC's NPI active?
- Yes — Smalltown Dental Peoria LLC's NPI (1558962795) is active in the NPPES registry as of the last update on 2020-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.