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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PREMIER DERMATOLOGY & SKIN RENEWAL CENTER

Active Organization

PREMIER DERMATOLOGY & SKIN RENEWAL CENTER is a Clinical & Laboratory Dermatological Immunology organization located in BENTONVILLE, Arkansas. NPI 1912912361 is currently active in the NPPES registry. Verify at CMS.

Clinical & Laboratory Dermatological Immunology · BENTONVILLE, AR

Registration Details

NPI Number
1912912361
Provider Type
Organization
NPI Issued
Jul 31, 2006 (19.854798558994 yrs)
Last Updated
Sep 11, 2025
Licenses
E3363 (AR)
E3363 (AR)
E3363 (AR)

Practice Information

Address
909 SE 28TH ST
STE 5
BENTONVILLE, AR, 727123880
Browse AR providers · Browse ZIP 72712
Phone
4792733376
Fax
4792733468
Additional Specialty
207NP0225X
Additional Specialty
Procedural Dermatology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.