Smalltown Dental on Fourth LLC
NPI 1427775089ActiveOrganization· Dentist, General Practice· Morton, IL
Dentist, General Practice in Morton, Illinois, registered in NPPES in October 2022, part of Smalltown Dental Management LLC. The authorized official on file is Luke Overcash, Cio.
Overview
| NPI | 1427775089 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Smalltown Dental Management LLC |
| NPI issued | Oct 25, 2022 |
| Last updated in NPPES | Oct 25, 2022 |
| Certified by provider | Oct 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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