Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Smalltown Dental Willow Knolls LLC

Organization General Practice Dentistry · NPI 1699365809

Smalltown Dental Willow Knolls LLC provides General Practice Dentistry in Peoria, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6712 N Mountello Dr
Peoria, IL 61614-2328
Phone: (309) 691-7855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1699365809
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSmalltown Dental Management LLC
Authorized official Luke Overcash — Operations Manager · (309) 370-5853
Other names Smalltown Dental Willow Knolls
NPI enumeratedJanuary 21, 2021
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021
Mailing address6712 N Mountello Dr, Peoria, IL 61614-2328

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