Van Buren Family Dentistry

LBN: Arkansas Dental Professionals, Mongrain, P.A.
Van Buren Family Dentistry is an health care organization with primary practice located at 617 Fayetteville Rd , Van Buren AR 72956-3418. 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, P.A. can be contacted via phone (479) 474-9696, or through Fish, Hannah via phone (217) 540-5699.

Contact Information

Primary practice address
617 Fayetteville Rd Van Buren AR 72956-3418
Phone: (479) 474-9696
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fish, Hannah
Phone: (217) 540-5699

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3370 Arkansas

Profile Details

NPI number 1396803722
LBN Legal business name Arkansas Dental Professionals, Mongrain, P.A.
DBA Doing business as Van Buren Family Dentistry
Authorized official Fish, Hannah
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Oct 20th, 2023 - about 3 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 1396803722 NPPES
Arkansas MEDICAID 161559608

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