ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A.
NPI 1396803722
Dentist - General Practice in Van Buren, AR

Q: What is Arkansas Dental Professionals, Mongrain, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since December 05, 2006

635 FAYETTEVILLE RD, VAN BUREN, AR 72956(479) 474-9696 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2025, Oct 20, 2023, Aug 22, 2020 (3 updates tracked since 2020).

On this page

About Arkansas Dental Professionals, Mongrain, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A. (NPI 1396803722), doing business as Van Buren Family Dentistry, is a healthcare organization registered as a general practice in Van Buren, Arkansas and active in the NPI registry since December 2006. The organization lists Hillary Thull, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1396803722

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A.

Location Address635 FAYETTEVILLE RDVan Buren, AR 72956-3418

Mailing Address635 Fayetteville RdVan Buren, AR 72956-3418 · (479) 474-9696

Phone(479) 474-9696

Organization SubpartNo

Authorized OfficialHillary ThullCredentialing Coordinator · (217) 540-8946

Enumeration DateDecember 5, 2006

Last NPPES UpdateOctober 8, 20253 updates tracked since enumeration

NPPES CertifiedOctober 8, 2025

✔ NPI 1396803722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AR · 3370

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

635 FAYETTEVILLE RD, Van Buren, AR 72956

Open in Google Maps ↗

Other Names 1

Doing Business AsVan Buren Family Dentistry

Other Identifiers 1

Medicaid161559608AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arkansas Dental Professionals, Mongrain, P.A.'s NPI number?

The NPI number for Arkansas Dental Professionals, Mongrain, P.A. is 1396803722. It was assigned to this organization in the NPPES registry on December 5, 2006. The provider is doing business as Van Buren Family Dentistry.

Where is Arkansas Dental Professionals, Mongrain, P.A. located?

Arkansas Dental Professionals, Mongrain, P.A. is located at 635 Fayetteville Rd, Van Buren, AR 72956. The listed phone number is (479) 474-9696.

What is Arkansas Dental Professionals, Mongrain, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Arkansas Dental Professionals, Mongrain, P.A. was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.