| Arkansas Dental Professionals Mongrain Pa | |
|
2909 S 74th St Fort Smith AR 72903-5156 | |
| (479) 452-7454 | |
| (479) 484-5908 |
| Full Name | Arkansas Dental Professionals Mongrain Pa |
|---|---|
| Speciality | Dentist |
| Location | 2909 S 74th St, Fort Smith, Arkansas |
| Authorized Official Name and Position | Marie Kuhl (DIRECTOR OF DENTAL INSURANCE) |
| Authorized Official Contact | 2175405146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Dental Professionals Mongrain Pa 2909 S 74th St Fort Smith AR 72903-5156 Ph: (479) 452-7454 | Arkansas Dental Professionals Mongrain Pa 2909 S 74th St Fort Smith AR 72903-5156 Ph: (479) 452-7454 |
| NPI Number | 1225179088 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 07/20/2020 |
| Medicare PECOS PAC ID | 5294963575 |
|---|---|
| Medicare Enrollment ID | O20140320001400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225179088 | NPI | - | NPPES |
| 162147631 | Medicaid | AR | |
| 200078290A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Steven R Kilpatrick |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528026754 PECOS PAC ID: 1557390762 Enrollment ID: I20050808001272 |
| Provider Name | Brenda D Donato Quintana |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1467531731 PECOS PAC ID: 4880905165 Enrollment ID: I20180927002491 |
Southern Dental Of Fort Smith Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4208 Jenny Lind Rd, Fort Smith, AR 72901 Phone: 479-782-3400 | |
Bold Dental Partners, Pllc Ft. Smith Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8309 Phoenix Ave, Fort Smith, AR 72903 Phone: 479-484-7645 Fax: 479-484-1551 | |
Charles G. Liggett, Jr. Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5111 Rogers Ave, Suite 207, Fort Smith, AR 72903 Phone: 479-719-0753 | |
R & S Dental Services Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5505 Euper Ln, Suite B, Fort Smith, AR 72903 Phone: 479-650-3257 Fax: 479-478-6122 | |
Cole J. Johnson Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2420 S 51st Ct, Fort Smith, AR 72903 Phone: 479-452-2995 | |
Kids Choice Fort Smith Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd, Suite 200, Fort Smith, AR 72903 Phone: 479-452-8650 | |
Moore Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2913 South 74th Street, Fort Smith, AR 72903 Phone: 479-484-5050 Fax: 479-484-5052 |