Organization
ARKANSAS DENTAL HEALTH PROFESSIONALS, MONGRAIN, P.A.
Active
Parent organization
ARKANSAS DENTAL HEALTH PROFESSIONALS, MONGRAIN, P.A.
Other names
Integrated Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARKANSAS DENTAL HEALTH PROFESSIONALS, MONGRAIN, P.A.
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
1101 NE MCCLAIN RD, BENTONVILLE, AR 72712-3833
(479) 333-1300
Mailing address
1101 NE MCCLAIN RD, BENTONVILLE, AR 72712-3833
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
03/10/2025
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