OrganizationActive
Northwest Arkansas Periodontal Associates, PLLC
NPI 1053418038 · Periodontics · Fayetteville, AR
Northwest Arkansas Periodontal Associates, PLLC is a Periodontics organization in Fayetteville, AR (NPI 1053418038).
Provider details
- NPI number
- 1053418038
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Gary Renegar, Member(479) 521-6400
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1831 N Green Acres Rd
Fayetteville, AR 72703-2615
Phone: (479) 521-6400
Fax: (479) 521-0164
Street-level locationGet directions
Mailing address
1831 N Green Acres Rd
Fayetteville, AR 72703-2615
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Northwest Arkansas Periodontal Associates, PLLC's NPI number?
- Northwest Arkansas Periodontal Associates, PLLC's National Provider Identifier (NPI) is 1053418038, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northwest Arkansas Periodontal Associates, PLLC?
- Northwest Arkansas Periodontal Associates, PLLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Northwest Arkansas Periodontal Associates, PLLC located?
- Northwest Arkansas Periodontal Associates, PLLC's practice location on file with NPPES is 1831 N Green Acres Rd, Fayetteville, AR 72703-2615.
- What is Northwest Arkansas Periodontal Associates, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Northwest Arkansas Periodontal Associates, PLLC is (479) 521-6400.
- Who is the authorized official for Northwest Arkansas Periodontal Associates, PLLC?
- The authorized official listed on Northwest Arkansas Periodontal Associates, PLLC's NPPES record is Gary Renegar, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northwest Arkansas Periodontal Associates, PLLC's NPI active?
- Yes — Northwest Arkansas Periodontal Associates, PLLC's NPI (1053418038) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.