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Contact Information

ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A.
9004 JENNY LIND RD
FORT SMITH, AR72908-8630
 Phone: 479-262-9101
 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 # 1922667898
LBN Legal business name ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A.
Authorized official TABATHA LEMKE - (CREDENTIALING)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/13/2019
Last updated 06/13/2019 - About 7 years 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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