SMALLTOWN DENTAL HOPEDALE NPI 1861039497

NPI Information

SMALLTOWN DENTAL HOPEDALE is a general practice dentist in Hopedale, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SMALLTOWN DENTAL HOPEDALE NPI is 1861039497. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

124 NW MAIN ST
HOPEDALE, IL
ZIP 61747-511
Phone: (309) 449-3371

The provider's authorized official is Luke Overcash .
The authorized official title is Operations Manager and has the following contact phone number (309) 370-5853.

The enumeration date for this NPI number is 12/2/2019 and was last updated on 6/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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