Organization · Type 2 NPI

Arkansas Dental Professionals, Mongrain, P.a

General Practice Dentistry · Little Rock, AR

NPI number 1114479136 Active

Practice location

5500 W Markham St
Little Rock, AR 72205-3412

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: 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.

3 other providers at this address

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NPI record

NPI: 1114479136
Entity type: Organization (Type 2)
Issued: Oct 25, 2016
Last updated: Oct 25, 2016
Status: Active
Subpart: Yes of Arkansas Dental Professionals, Mongrain, P.a

Other names

<unavail>
Markham Family Dentistry · doing business as

Authorized official

Cassandr Teutsch
Credentialing Coordinator
(217) 540-8972

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114479136

Arkansas Dental Professionals, Mongrain, P.a's National Provider Identifier is 1114479136, issued on Oct 25, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Little Rock, AR. The record was last updated on Oct 25, 2016.