Premier Dermatology & Skin Renewal Center
NPI 1912912361 · Clinical & Laboratory Dermatological Immunology Physician · Bentonville, AR
Premier Dermatology & Skin Renewal Center is a Clinical & Laboratory Dermatological Immunology Physician organization in Bentonville, AR (NPI 1912912361).
Provider details
- NPI number
- 1912912361
- Entity type
- Organization
- Primary specialty
- Clinical & Laboratory Dermatological Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeff Clifton, Coo(479) 273-3376
- License
- E3363 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2025-09-11
Frequently asked questions
- What is Premier Dermatology & Skin Renewal Center's NPI number?
- Premier Dermatology & Skin Renewal Center's National Provider Identifier (NPI) is 1912912361, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Dermatology & Skin Renewal Center?
- Premier Dermatology & Skin Renewal Center is classified in the NPPES registry as Clinical & Laboratory Dermatological Immunology Physician (Allopathic & Osteopathic Physicians).
- Where is Premier Dermatology & Skin Renewal Center located?
- Premier Dermatology & Skin Renewal Center's practice location on file with NPPES is 909 Se 28th St, Bentonville, AR 72712-3880.
- What is Premier Dermatology & Skin Renewal Center's phone number?
- The practice phone number listed in the NPPES registry for Premier Dermatology & Skin Renewal Center is (479) 273-3376.
- Who is the authorized official for Premier Dermatology & Skin Renewal Center?
- The authorized official listed on Premier Dermatology & Skin Renewal Center's NPPES record is Jeff Clifton, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Dermatology & Skin Renewal Center's NPI active?
- Yes — Premier Dermatology & Skin Renewal Center's NPI (1912912361) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.