OrganizationActive
Advanced Dermatology & Skin Cancer Center, LLC
NPI 1245426162 · Clinic/Center · Fayetteville, AR
Provider details
- NPI number
- 1245426162
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lance Henry, Director(479) 856-8494
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1444 E Stearns St
Suite 11
Fayetteville, AR 72703-6243
Phone: (479) 718-7546
Fax: (479) 966-4979
Approximate (ZIP-level) locationGet directions
Mailing address
1444 E Stearns St
Fayetteville, AR 72703-6243
Registry dates
- Enumerated
- 2007-09-25
- Last updated
- 2021-08-02
- Certified
- 2021-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.