Organization · Type 2 NPI
Smalltown Dental Atlanta
Dental Clinic/Center · Atlanta, IL
NPI number
1417515453
Active
Practice location
205 S Race St
Atlanta, IL 61723-7586
Mailing address
PO Box 445
Atlanta, IL 61723-0445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1417515453
Smalltown Dental Atlanta's National Provider Identifier is 1417515453, issued on Jun 4, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Atlanta, IL. The record was last updated on Jun 29, 2020.