Smalltown Dental Ottawa PLLC
NPI 1750216834ActiveOrganization· Dentist, General Practice· Ottawa, IL
Dentist, General Practice in Ottawa, Illinois, registered in NPPES in June 2026, part of Smalltown Dental Management LLC. The authorized official on file is Luke Overcash, Cio.
Overview
| NPI | 1750216834 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Smalltown Dental Management LLC |
| NPI issued | Jun 17, 2026 |
| Last updated in NPPES | Jun 17, 2026 |
| Certified by provider | Jun 17, 2026 |
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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