DOMINIQUE MICHELE WATERBURY
NPI 1043773922
Driver in Fort Smith, AR

Q: What is Dominique Waterbury's NPI number?

The NPI number for Dominique Waterbury is 1043773922. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Q: What is Dominique Waterbury's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

Active since April 09, 2019

5400 EUPER LN, FORT SMITH, AR 72903(479) 755-6601 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dominique Michele Waterbury NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE MICHELE WATERBURY (NPI 1043773922) is an individual driver provider in Fort Smith, Arkansas, licensed in Arkansas (928984961) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1043773922

Entity TypeIndividualFemale

Primary Taxonomy172A00000X

Provider Legal NameDOMINIQUE MICHELE WATERBURY

Location Address5400 EUPER LNFort Smith, AR 72903-3232

Mailing Address1900 Stillwater DrJonesboro, AR 72404-9119 · (870) 932-3600

Phone(479) 755-6601

Sole ProprietorNo

Enumeration DateApril 9, 2019

✔ NPI 1043773922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers

Taxonomy Code172A00000X

License✔ Licensed in AR · 928984961

Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

5400 EUPER LN, Fort Smith, AR 72903

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROCHELLE ARNDT

Specialist