Individual provider · Type 1 NPI

Robert Blaine Mongrain Jr., DMD

General Practice Dentistry · Broken Arrow, OK

NPI number 1598731655 Active

Practice location

8701 S Garnett Rd
Broken Arrow, OK 74012-8852

Call (918) 250-9528 Map

Fax (918) 250-9529

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X4301 (OK)

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.

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About NPI 1598731655

Robert Blaine Mongrain Jr., DMD's National Provider Identifier is 1598731655, issued on Feb 27, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Broken Arrow, OK. The record was last updated on Jul 13, 2026.