Northwest Arkansas Periodontal Associates, Pllc
Periodontology Clinic
1831 N Green Acres Rd, Fayetteville
Arkansas, 72703-2615
479-521-6400 479-521-0164
Maps & DirectionsNorthwest Arkansas Periodontal Associates, Pllc is a Periodontology Clinic in Fayetteville, Arkansas. It is located at 1831 N Green Acres Rd, Fayetteville, AR and its contact number is 479-521-6400. The authorized person for Northwest Arkansas Periodontal Associates, Pllc is Dr. Gary Renegar
who is Member of the clinic and their contact number is 479-521-6400. Other organizations associated with this clinic are Northwest Arkansas Periodontal Associates, Pllc, James M. Tinnin, D.d.s., M.s.d, P.a., Northwest Arkansas Endodontic Specialists, Pa,
Northwest Arkansas Periodontal Associates, Pllc Clinic is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Clinic Profile:
Northwest Arkansas Periodontal Associates, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Northwest Arkansas Periodontal Associates, Pllc |
| Specialization: | Periodontology |
| Clinic Address: | 1831 N Green Acres Rd, Fayetteville,
Arkansas, 72703-2615 |
| Phone: | 479-521-6400 |
| Fax: | 479-521-0164 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Gary Renegar |
| Position: | Member |
| Contact Number: | 479-521-6400 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Northwest Arkansas Periodontal Associates, Pllc clinic are as mentioned below.
| NPI Number: | 1053418038 |
| NPI Enumeration Date: | 20 Sep, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Northwest Arkansas Periodontal Associates, Pllc | Periodontology | 1053418038 |
| James M. Tinnin, D.d.s., M.s.d, P.a. | Endodontics | 1407372949 |
| Northwest Arkansas Endodontic Specialists, Pa | Endodontics | 1528253416 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northwest Arkansas Periodontal Associates, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Periodontics | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 58605 | Other | Arkansas | Blue Cross Blue Shield |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Northwest Arkansas Periodontal Associates, Pllc
1831 N Green Acres Rd,
Fayetteville, Arkansas |
| Zip: | 72703-2615 |
| Phone Number: | 479-521-6400 |
| Fax Number: | 479-521-0164 |
Patients can reach Northwest Arkansas Periodontal Associates, Pllc at
1831 N Green Acres Rd, Fayetteville, Arkansas or can
call to book an appointment on 479-521-6400.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.