| Smalltown Dental Atlanta | |
|
205 S Race St Atlanta IL 61723-7586 | |
| (217) 648-2828 | |
| Not Available |
| Full Name | Smalltown Dental Atlanta |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 205 S Race St, Atlanta, Illinois |
| Authorized Official Name and Position | Luke Overcash (OPERATIONS MANAGER) |
| Authorized Official Contact | 3093705853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smalltown Dental Atlanta Po Box 445 Atlanta IL 61723-0445 Ph: (217) 648-2828 | Smalltown Dental Atlanta 205 S Race St Atlanta IL 61723-7586 Ph: (217) 648-2828 |
| NPI Number | 1417515453 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 06/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417515453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |