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

Natural State Dermatology PLLC

Organization Dermatology Physician · NPI 1407719594

Natural State Dermatology PLLC is a Dermatology Physician in Conway, Arkansas. Registered with an NPI since 2025.

In the registry since
2025
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

4206 Prince St
Conway, AR 72034-9398
Phone: (870) 250-0183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1407719594
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Virginia McGee — Credentialing Specialist · (501) 339-5152
NPI enumeratedDecember 5, 2025
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026
Mailing address4206 Prince St, Conway, AR 72034-9398

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