The Dermatology Center Pllc

LBN: The Dermatology Center Pllc
The Dermatology Center Pllc is an health care organization with primary practice located at 7900 Dallas Street , Fort Smith AR 72903-5690. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. The Dermatology Center Pllc can be contacted via phone (479) 242-6647, or through Stites, Phillip Craig via phone (479) 242-6647.

Contact Information

Primary practice address
7900 Dallas Street Fort Smith AR 72903-5690
Phone: (479) 242-6647
Fax: (479) 250-0505
Website:
Map and Directions
Authorized official contact:
Name: Stites, Phillip Craig Doctor of Medicine (MD)
Phone: (479) 242-6647

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X E-2778 Arkansas

Profile Details

NPI number 1376780098
LBN Legal business name The Dermatology Center Pllc
DBA Doing business as
Authorized official Stites, Phillip Craig Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2009
Last updated Mar 6th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376780098 NPPES
Arkansas MEDICAID 176760002

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