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NORTHWEST ARKANSAS ORAL & MAXILLOFACIAL SURGERY PLLC
NPI 1952587107
Dentist - Oral and Maxillofacial Surgery in Fayetteville, AR

Active since January 18, 2008
163 W VAN ASCHE LOOP, FAYETTEVILLE, AR 72703(479) 966-4004(479) 935-4004 Get Directions Write a Review

NPPES record last updated: January 22, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Northwest Arkansas Oral & Maxillofacial Surgery Pllc NPPES

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

NORTHWEST ARKANSAS ORAL & MAXILLOFACIAL SURGERY PLLC (NPI 1952587107) is a healthcare organization registered as an oral and maxillofacial surgery in Fayetteville, Arkansas and active in the NPI registry since January 2008. The organization lists Joshua Russell Cross, Owner, as its authorized official.

NPPES Registry Identity

NPI1952587107
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameNORTHWEST ARKANSAS ORAL & MAXILLOFACIAL SURGERY PLLC
Location Address163 W VAN ASCHE LOOPFayetteville, AR 72703-4974
Mailing Address163 W Van Asche LoopFayetteville, AR 72703-4974 · (479) 966-4004 · Fax (479) 935-4004
Phone(479) 966-4004
Fax(479) 935-4004
Organization SubpartNo
Authorized OfficialJoshua Russell CrossOwner · (479) 966-4004
Enumeration DateJanuary 18, 2008
Last NPPES UpdateJanuary 22, 2015
✔ NPI 1952587107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in AR · 3491
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

163 W VAN ASCHE LOOP, Fayetteville, AR 72703
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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

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. JOSHUA RUSSELL CROSS DDS
Dentist (Oral and Maxillofacial Surgery)
163 W VAN ASCHE LOOP
FAYETTEVILLE, AR 72703
Washington County (479) 966-4004

Frequently Asked Questions

What is NORTHWEST ARKANSAS ORAL & MAXILLOFACIAL SURGERY PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1952587107, enumerated as an "organization" on January 18, 2008.

Where is the provider located?

The provider is located at 163 W VAN ASCHE LOOP FAYETTEVILLE, AR 72703 and the phone number is (479) 966-4004.

What is the provider's specialty?

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.