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

Northwest Arkansas Periodontal Associates, PLLC

Organization Periodontics · NPI 1053418038

Northwest Arkansas Periodontal Associates, PLLC is a Periodontics in Fayetteville, Arkansas. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1831 N Green Acres Rd
Fayetteville, AR 72703-2615
Phone: (479) 521-6400
Fax: (479) 521-0164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1053418038
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Renegar — Member · (479) 521-6400
NPI enumeratedSeptember 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1831 N Green Acres Rd, Fayetteville, AR 72703-2615

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