OrganizationActive
Smalltown Dental Willow Knolls LLC
NPI 1699365809 · General Practice Dentistry · Peoria, IL
Smalltown Dental Willow Knolls LLC is a General Practice Dentistry organization in Peoria, IL (NPI 1699365809).
Provider details
- NPI number
- 1699365809
- 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
6712 N Mountello Dr
Peoria, IL 61614-2328
Phone: (309) 691-7855
Street-level locationGet directions
Mailing address
6712 N Mountello Dr
Peoria, IL 61614-2328
Other names (DBA / former)
- Doing business as
- Smalltown Dental Willow Knolls
Registry dates
- Enumerated
- 2021-01-21
- Last updated
- 2021-01-21
- Certified
- 2021-01-21
Frequently asked questions
- What is Smalltown Dental Willow Knolls LLC's NPI number?
- Smalltown Dental Willow Knolls LLC's National Provider Identifier (NPI) is 1699365809, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Smalltown Dental Willow Knolls LLC?
- Smalltown Dental Willow Knolls LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Smalltown Dental Willow Knolls LLC located?
- Smalltown Dental Willow Knolls LLC's practice location on file with NPPES is 6712 N Mountello Dr, Peoria, IL 61614-2328.
- What is Smalltown Dental Willow Knolls LLC's phone number?
- The practice phone number listed in the NPPES registry for Smalltown Dental Willow Knolls LLC is (309) 691-7855.
- Who is the authorized official for Smalltown Dental Willow Knolls LLC?
- The authorized official listed on Smalltown Dental Willow Knolls 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 Willow Knolls LLC's NPI active?
- Yes — Smalltown Dental Willow Knolls LLC's NPI (1699365809) is active in the NPPES registry as of the last update on 2021-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.