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UBBEN DERMATOLOGY CLINIC
NPI 1194776906
Specialist in Bella Vista, AR

Active since May 15, 2006
5 CUNNINGHAM COR, BELLA VISTA, AR 72714(479) 855-1247(479) 855-1249 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ubben Dermatology Clinic NPPES

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

UBBEN DERMATOLOGY CLINIC (NPI 1194776906) is a healthcare organization registered as a specialist in Bella Vista, Arkansas and active in the NPI registry since May 2006. The organization lists Kenneth L Ubben, Owner, as its authorized official.

NPPES Registry Identity

NPI1194776906
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameUBBEN DERMATOLOGY CLINIC
Location Address5 CUNNINGHAM CORBella Vista, AR 72714-3520
Mailing Address5 Cunningham CorBella Vista, AR 72714-3520 · (479) 855-1247 · Fax (479) 855-1249
Phone(479) 855-1247
Fax(479) 855-1249
Organization SubpartNo
Authorized OfficialKenneth L UbbenOwner · (479) 855-1247
Enumeration DateMay 15, 2006
Last NPPES UpdateMay 12, 2011
✔ NPI 1194776906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AR · C-8212
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5 CUNNINGHAM COR, Bella Vista, AR 72714
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Other Identifiers 3

Medicare UPINA94211AR
Medicare ID-Type Unspecified5F237AR
Medicaid122172001AR

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

Other Providers at the Same Location NPPES

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

DR. KENNETH L UBBEN M.D.
Specialist
5 CUNNINGHAM COR
BELLA VISTA, AR 72714
Benton County (479) 855-1247

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ubben Dermatology Clinic's NPI number?

The NPI number for Ubben Dermatology Clinic is 1194776906. It was assigned to this organization in the NPPES registry on May 15, 2006.

Where is Ubben Dermatology Clinic located?

Ubben Dermatology Clinic is located at 5 Cunningham Cor, Bella Vista, AR 72714. The listed phone number is (479) 855-1247.

What is Ubben Dermatology Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ubben Dermatology Clinic was last updated on May 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.