NORTHWEST ARKANSAS PERIODONTAL ASSOCIATES PLLC NPI 1053418038

NPI Information

NORTHWEST ARKANSAS PERIODONTAL ASSOCIATES, PLLC is a periodontics dentist in Fayetteville, AR. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. NORTHWEST ARKANSAS PERIODONTAL ASSOCIATES, PLLC NPI is 1053418038. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1831 N GREEN ACRES RD
FAYETTEVILLE, AR
ZIP 72703-615
Phone: (479) 521-6400
Fax: (479) 521-0164

The provider's authorized official is Gary Renegar .
The authorized official title is Member and has the following contact phone number (479) 521-6400.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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