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Contact Information

ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A
3003 TWIN RIVERS DR
ARKADELPHIA, AR71923-4219
 Phone: 870-246-2242
 Fax: 870-246-2495
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ARKANSAS DENTAL PROFESSIONALS MONGRAIN PA · (Female)

NPI Number 1740435312
Status Active
Credentials
Entity Individual
Enumeration date 11/24/2008
Last updated 05/10/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # 2256
  • AR Medicaid 172175631
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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