PREMIER DENTAL,PLLC
NPI 1801210844
Dentist in Fayetteville, AR

Active since February 11, 2014CLIA 04D2129901 · Microscopy
1438 E. AUGUSTINE LANE, SUITE 1, FAYETTEVILLE, AR 72703(479) 251-9000(479) 251-9002 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Premier Dental,pllc NPPES

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

PREMIER DENTAL,PLLC (NPI 1801210844) is a healthcare organization registered as a dentist in Fayetteville, Arkansas and active in the NPI registry since February 2014. The organization holds a CLIA Microscopy certificate valid through April 26, 2027 and lists Leann Sargent, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1801210844
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePREMIER DENTAL,PLLC
Location Address1438 E. AUGUSTINE LANE, SUITE 1Fayetteville, AR 72703-4943
Mailing Address1438 E. Augustine Lane, Suite 1Fayetteville, AR 72703-4943 · (479) 251-9000 · Fax (479) 251-9002
Fax(479) 251-9002
Organization SubpartNo
Authorized OfficialLeann SargentOffice Manager · (479) 251-9000
Enumeration DateFebruary 11, 2014
Last NPPES UpdateMarch 29, 2016
NPI 1801210844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in AR · 3473
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1438 E. AUGUSTINE LANE, Fayetteville, AR 72703

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D2129901

True Dermatology, PLLC · Fayetteville, AR
Active · expires Apr 26, 2027
CLIA Number04D2129901
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorDr. Mildred Clifton
Laboratory Phone(479) 273-3376
Laboratory LocationTrue Dermatology, PLLC1438 East Augustine Lane Ste 2, Fayetteville, AR 72703
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Premier Dental,pllc's NPI number?

The NPI number for Premier Dental,pllc is 1801210844. It was assigned to this organization in the NPPES registry on February 11, 2014.

Where is Premier Dental,pllc located?

Premier Dental,pllc is located at 1438 E. Augustine Lane Suite 1, Fayetteville, AR 72703. The listed phone number is (479) 251-9000.

What is Premier Dental,pllc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Does Premier Dental,pllc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D2129901) is associated with this NPI, valid through April 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premier Dental,pllc was last updated on March 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.