Organization Active NPI

Arkansas Dental Professionals, Mongrain, P.a.

Doing business as Artistic Smiles

  • General Practice Dentistry
  • Rogers, AR
National Provider Identifier
1083577803
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A.
Doing business as
Artistic Smiles
Practice address
4001 W Financial Pkwy
Rogers, AR 72758-1449
Phone
(479) 636-8700
NPI assigned
Dec 8, 2025
Last updated
Dec 8, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cemyira McDougal
Title
Credentialing Coordinator
Phone
(217) 764-8609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4001 W Financial Pkwy
Rogers, AR 72758-1449

Mailing address

4001 W Financial Pkwy
Rogers, AR 72758-1449
Phone (479) 636-8700

Other names 1

  • Artistic Smiles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Dental Professionals Mongrain PA7 organizations share this tax ID, including this one
Part of
Arkansas Dental Professionals Mongrain PA

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1083577803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W FINANCIAL PKWY",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581449",
            "telephone_number": "479-636-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W FINANCIAL PKWY",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581449",
            "telephone_number": "479-636-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARKANSAS DENTAL PROFESSIONALS, MONGRAIN, P.A.",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "MCDOUGAL",
        "authorized_official_first_name": "CEMYIRA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-764-8609"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Artistic Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.