NPI 1154117463
Premier Dermatology Services PLLC
Practice location
- Address
- 901 SE Plaza Ave STE 5, Bentonville, AR 72712-5473
- Phone
- (479) 273-3376
- Fax
- (479) 273-3468
Authorised official
- Name
- Sara Fast
- Title
- Practice Director
- Phone
- (479) 876-8501
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1154117463
- Entity type
- Organization
- NPI issued
- 15 Apr 2025
- Record last updated
- 24 Jun 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.