| Smalltown Dental Morton Llc | |
|
134 Detroit Ave Morton IL 61550-1532 | |
| (309) 263-7449 | |
| (309) 263-2209 |
| Full Name | Smalltown Dental Morton Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 134 Detroit Ave, Morton, 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 Morton Llc 134 Detroit Ave Morton IL 61550-1532 Ph: (309) 263-7449 | Smalltown Dental Morton Llc 134 Detroit Ave Morton IL 61550-1532 Ph: (309) 263-7449 |
| NPI Number | 1720626906 |
|---|---|
| Provider Enumeration Date | 12/18/2019 |
| Last Update Date | 12/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720626906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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