PREMIER DERMATOLOGY SERVICES PLLC - NPI 1154117463

Q: What is Premier Dermatology Services PLLC's NPI number?

The NPI number for Premier Dermatology Services PLLC is 1154117463. It was assigned to this organization in the NPPES registry on April 15, 2025. The provider is doing business as Premier Dermatology & Aesthetics.

Q: What is Premier Dermatology Services PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

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About Premier Dermatology Services Pllc NPPES

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

PREMIER DERMATOLOGY SERVICES PLLC (NPI 1154117463), doing business as Premier Dermatology & Aesthetics, is a healthcare organization registered as a dermatology in Bentonville, Arkansas and active in the NPI registry since April 2025. The organization maintains 2 additional practice locations and lists Sara Fast, Practice Director, as its authorized official.

NPPES Registry Identity

NPI1154117463

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NamePREMIER DERMATOLOGY SERVICES PLLC

Location Address901 SE PLAZA AVE STE 5Bentonville, AR 72712-5473

Mailing Address901 Se Plaza Ave Ste 5Bentonville, AR 72712-5473 · (479) 273-3376 · Fax (479) 273-3468

Phone(479) 273-3376

Fax(479) 273-3468

Organization SubpartNo

Authorized OfficialSara FastPractice Director · (479) 876-8501

Enumeration DateApril 15, 2025

Last NPPES UpdateJune 24, 2026

NPPES CertifiedJune 24, 2026

✔ NPI 1154117463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

901 SE PLAZA AVE STE 5, Bentonville, AR 72712

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Other Names 1

Doing Business AsPremier Dermatology & Aesthetics

Secondary Practice Locations 2

Location 15691 Gateway Ave, Suite DSpringdale, AR 72762 · Phone (479) 273-3376

Location 21702 SE 8th St Ste 10Bentonville, AR 72712-2891 · Phone (479) 273-3376

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 11

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

JENNY AMANDA SIMMONS M.S., PA-C

Physician Assistant