Arkansas Dental Professionals Mongrain Pa

LBN: Arkansas Dental Professionals Mongrain Pa
Arkansas Dental Professionals Mongrain Pa is an health care organization with primary practice located at 2909 S 74Th St , Fort Smith AR 72903-5156. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Arkansas Dental Professionals Mongrain Pa can be contacted via phone (479) 452-7454, or through Kuhl, Marie via phone (217) 540-5146.

Contact Information

Primary practice address
2909 S 74Th St Fort Smith AR 72903-5156
Phone: (479) 452-7454
Fax: (479) 484-5908
Website:
Map and Directions
Authorized official contact:
Name: Kuhl, Marie
Phone: (217) 540-5146

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1225179088
LBN Legal business name Arkansas Dental Professionals Mongrain Pa
DBA Doing business as
Authorized official Kuhl, Marie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 20th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225179088 NPPES
Arkansas MEDICAID 162147631
Arkansas MEDICAID 200078290A

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