OrganizationActive
Ar Periodontal & Implant Assoc
NPI 1881096519 · Dentist · Fayetteville, AR
Provider details
- NPI number
- 1881096519
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Ar Periodontal & Implant Assoc
- Organization subpart
- Yes
- Authorized official
- Cindy Raben, Office Manager(479) 521-6400
- License
- 3262 (AR)
Specialties & taxonomies
Dental Providers
Practice location
2001 N Green Acres Rd
Fayetteville, AR 72703-2619
Phone: (479) 521-6400
Fax: (479) 521-0164
Approximate (ZIP-level) locationGet directions
Mailing address
3800 Rogers Ave
Fort Smith, AR 72903-3046
Registry dates
- Enumerated
- 2014-09-25
- Last updated
- 2014-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.