DR. ROBERT BLAINE JR. MONGRAIN (DMD) – General Practice Dentistry, NPI 1598731655
General Practice Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. ROBERT BLAINE JR. MONGRAIN (DMD)
South Garnett Road East, Broken Arrow, Tulsa, Oklahoma, 74147, United States
BROKEN ARROW, OK 740128852
Phone: (918) 250-9528
Fax: (918) 250-9529
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $1,862.
Total Amount is formed as General ($1,862) + Research ($0) + Ownership ($0) = $1,862.
Last reported payment date: 2024-05-31 • Largest payer in this snapshot: Align Technology, Inc. ($890).
Total Amount
$1,862
General + Research + Ownership
Payments
17
Total payment records
General Amount
$1,862
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Align Technology, Inc. | $890 |
| Henry Schein, Inc. | $881 |
| Dentsply Sirona Inc | $38 |
| Hu-Friedy Mfg. Co., LLC | $27 |
| Solventum Corporation | $26 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-06-03
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74012)
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