Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Living Tree Pediatrics, PLLC

Organization Pediatrics Physician · NPI 1396102679

Living Tree Pediatrics, PLLC is a Pediatrics Physician in Bentonville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2016.

Licensed in
AR
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1110 SE 30th St
Bentonville, AR 72712-4290
Phone: (479) 282-2966
Fax: (479) 282-2967
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence E7529 (AR)

Record details

NPI number1396102679
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Tate — Co-Owner · (479) 282-2966
NPI enumeratedJanuary 18, 2016
Last updated in NPPESMarch 21, 2022
Certification dateMarch 21, 2022
Mailing addressP.O. Box 2760, Bentonville, AR 72712-4290

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