Organization · Type 2 NPI

Arkansas Dental Professionals, Mongrain, P.a.

General Practice Dentistry · Little Rock, AR

NPI number 1548675606 Active

Practice location

3801 Woodland Heights Rd Ste 175
Little Rock, AR 72212-2481

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.

Other general practice dentistry providers in Little Rock

See all in Little Rock →

NPI record

NPI: 1548675606
Entity type: Organization (Type 2)
Issued: Jun 27, 2014
Last updated: Jun 27, 2014
Status: Active
Subpart: Yes of Arkansas Dental Professionals, Mongrain, P.a.

Other names

<unavail>
Woodland Heights Family Dental · doing business as

Authorized official

Kim Wilson
Cred Supervisor
(217) 540-5170

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.

Is this your record? How to update it.

About NPI 1548675606

Arkansas Dental Professionals, Mongrain, P.a.'s National Provider Identifier is 1548675606, issued on Jun 27, 2014. 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 Jun 27, 2014.