Arkansas Dental Professionals, Mongrain, P.A
NPI 1114479136ActiveOrganization· Dentist, General Practice· Little Rock, AR
Dentist, General Practice in Little Rock, Arkansas, registered in NPPES in October 2016, part of Arkansas Dental Professionals, Mongrain, P.A. The authorized official on file is Cassandr Teutsch, Credentialing Coordinator.
Overview
| NPI | 1114479136 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Arkansas Dental Professionals, Mongrain, P.A |
| NPI issued | Oct 25, 2016 |
| Last updated in NPPES | Oct 25, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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