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

Ozark Dermatology Clinic

Organization Specialist · NPI 1134207483

Ozark Dermatology Clinic is a Specialist in Fayetteville, Arkansas. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4375 N Vantage Dr Ste 305
Fayetteville, AR 72703-4984
Phone: (479) 443-5100
Fax: (479) 443-5117
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1134207483
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Williams — Credentialing Manager · (479) 335-1831
NPI enumeratedNovember 2, 2006
Last updated in NPPESFebruary 22, 2022
Certification dateFebruary 22, 2022
Mailing address4375 N. Vantage Drive, Suite 305, Fayetteville, AR 72703-4984

Other providers in Fayetteville