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Premier Dermatology & Skin Renewal Center
Clinical & Laboratory Dermatological Immunology Physician in Bentonville, Arkansas
NPI 1912912361

Premier Dermatology & Skin Renewal Center is a Clinical & Laboratory Dermatological Immunology Physician based in Bentonville, AR and is specialized in Clinical & Laboratory Dermatological Immunology. Premier Dermatology & Skin Renewal Center practices in Bentonville, AR. The NPI Number for Premier Dermatology & Skin Renewal Center is 1912912361 and holds a License No. E3363 (Arkansas).

The current practice location address for Premier Dermatology & Skin Renewal Center is 909 Se 28Th St, Bentonville, AR and can be reached out via phone at 479-273-3376 and via fax at 479-273-3468.

Location: 909 Se 28Th St, Bentonville, AR, 72712-3880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912912361
Provider Name
Premier Dermatology & Skin Renewal Center
Credential
Provider Entity Type
Organization
Address
909 Se 28Th St, Bentonville, AR, 72712-3880
Phone Number
479-273-3376
Fax Number
479-273-3468
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1679521405 01 AR NPI - MILDRED CLIFTON, MD
03060015000 01 AR QUALCHOICE
institution
Provider Business Practice Location Address Details
Address
909 Se 28Th St
City
Bentonville
State
Arkansas
Zip
72712-3880
Phone Number
479-273-3376
Fax Number
479-273-3468
person
Provider Business Mailing Address Details
Address
909 Se 28Th St
City
Bentonville
State
Arkansas
Zip
72712-3880
Phone Number
479-273-3376
Fax Number
479-273-3468
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
207N00000X
License No.
(Arkansas)
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Clinical & Laboratory Dermatological Immunology
Taxonomy
207NI0002X
License No.
E3363 (Arkansas)
Definition
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Pediatric Dermatology
Taxonomy
207NP0225X
License No.
E3363 (Arkansas)
Definition
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
207NS0135X
License No.
E3363 (Arkansas)
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
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