Arkansas Dental Health Professionals, Mongrain, P.a.
NPI #1891448155 in Bentonville, Arkansas
Provider Information
- NPI Number
- 1891448155
- Entity Type
- Organization
- Organization Name
- Arkansas Dental Health Professionals, Mongrain, P.a.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ARKANSAS DENTAL HEALTH PROFESSIONALS, MONGRAIN, P.A.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 27, 2022
- Last Updated
- Mar 10, 2025
Practice Location
- Address
- 1101 NE MCCLAIN RD
- City
- Bentonville
- State
- Arkansas
- ZIP Code
- 72712-3833
- Phone
- (479) 333-1300
Authorized Official
- Name
- HILLARY THULL
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-8946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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