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Contact Information

ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A.
4001 W FINANCIAL PKWY
ROGERS, AR72758-1449
 Phone: 479-636-8700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A.

NPI Number 1083577803
LBN Legal business name ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A.
Authorized official CEMYIRA MCDOUGAL - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/08/2025
Last updated 12/08/2025 - About 6 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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