Organization
ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A.
Active
Other names
Van Buren Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
635 FAYETTEVILLE RD, VAN BUREN, AR 72956-3418
(479) 474-9696
Mailing address
635 FAYETTEVILLE RD, VAN BUREN, AR 72956-3418
(479) 474-9696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3370
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161559608
—
AR
Enumeration date
12/05/2006
Last updated
10/08/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us