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Ozark Dermatology Clinic

Specialist in Fayetteville, AR · enumerated 2006 · authorized official Diane Williams, Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134207483

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Registry record

Entity type Organization (Type 2)
Legal business name Ozark Dermatology Clinic
Practice address 4375 N. Vantage Drive, Suite 305, Fayetteville, AR, 72703
Phone (479) 443-5100
Fax (479) 443-5117
Enumeration date Nov 2, 2006
Last updated in NPPES Feb 22, 2022

Taxonomy & classification

174400000X Specialist Other Service Providers Primary

Authorized official

Name Diane Williams
Title Credentialing Manager
Phone (479) 335-1831

Other identifiers

Identifier Type State Issuer
7897701 Other AR AETNA
14568002 Medicaid AR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Ozark Dermatology Clinic?
NPPES lists Diane Williams (Credentialing Manager) as the authorized official for this organization.
What is the NPI number for Ozark Dermatology Clinic?
The NPI for Ozark Dermatology Clinic is 1134207483, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-22.