Smalltown Dental Peoria LLC
NPI 1558962795ActiveOrganization· Dentist, General Practice· Peoria, IL
Dentist, General Practice in Peoria, Illinois, registered in NPPES in November 2020, part of Smalltown Dental Management LLC. The authorized official on file is Luke Overcash, Operations Manager.
Overview
| NPI | 1558962795 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Smalltown Dental Management LLC |
| NPI issued | Nov 4, 2020 |
| Last updated in NPPES | Nov 4, 2020 |
| Certified by provider | Nov 4, 2020 |
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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