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PLASTIC SURGERY CLINIC OF NORTHWEST ARKANSAS
NPI 1538358247
Specialist in Fayetteville, AR

Active since October 18, 2007
1794 E JOYCE BLVD, SUITE 1, FAYETTEVILLE, AR 72703(479) 443-7771(479) 443-7790 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Plastic Surgery Clinic Of Northwest Arkansas NPPES

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

PLASTIC SURGERY CLINIC OF NORTHWEST ARKANSAS (NPI 1538358247) is a healthcare organization registered as a specialist in Fayetteville, Arkansas and active in the NPI registry since October 2007. The organization lists C Renee Sandlin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1538358247
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFAYETTEVILLE PLASTIC SURGERY CLINIC
Location Address1794 E JOYCE BLVD, SUITE 1Fayetteville, AR 72703-5256
Mailing Address1794 E Joyce Blvd, Suite 1Fayetteville, AR 72703-5256 · (479) 443-7771 · Fax (479) 443-7790
Phone(479) 443-7771
Fax(479) 443-7790
Organization SubpartNo
Authorized OfficialC Renee SandlinAdministrator · (479) 443-7771
Enumeration DateOctober 18, 2007
Last NPPES UpdateOctober 25, 2007
✔ NPI 1538358247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AR · R3739
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.
1794 E JOYCE BLVD, Fayetteville, AR 72703
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Other Names 1

Doing Business AsPlastic Surgery Clinic Of Northwest Arkansas

Other Identifiers 2

Medicare UPINC68220AR
Medicare PIN5B984AR

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 2

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

MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Psychiatry & Neurology (Neurology)
1794 E JOYCE BLVD, SUITE 3
FAYETTEVILLE, AR 72703
Washington County (479) 442-4070
DAVIS BROWN & MORSE PARTNERSHIP NEUROLOGICAL ASSOCIATES
Specialist
1794 E JOYCE BLVD, SUITE #3
FAYETTEVILLE, AR 72703
Washington County (479) 442-4070

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 Fayetteville Plastic Surgery Clinic's NPI number?

The NPI number for Fayetteville Plastic Surgery Clinic is 1538358247. It was assigned to this organization in the NPPES registry on October 18, 2007. The provider is doing business as Plastic Surgery Clinic Of Northwest Arkansas.

Where is Fayetteville Plastic Surgery Clinic located?

Fayetteville Plastic Surgery Clinic is located at 1794 E Joyce Blvd Suite 1, Fayetteville, AR 72703. The listed phone number is (479) 443-7771.

What is Fayetteville Plastic Surgery 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 Fayetteville Plastic Surgery Clinic was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.