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Premier Dermatology & Skin Renewal Center

Clinical & Laboratory Dermatological Immunology Physician in Bentonville, AR · enumerated 2006 · authorized official Jeff Clifton, Coo.

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

National Provider Identifier

1912912361

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Registry record

Entity type Organization (Type 2)
Legal business name Premier Dermatology & Skin Renewal Center
Practice address 909 Se 28th St, Ste 5, Bentonville, AR, 72712
Phone (479) 273-3376
Fax (479) 273-3468
Enumeration date Jul 31, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License E3363 (AR) Secondary
207NP0225X Pediatric Dermatology Physician Allopathic & Osteopathic Physicians · License E3363 (AR) Secondary
207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians · License E3363 (AR) Secondary
207NI0002X Clinical & Laboratory Dermatological Immunology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jeff Clifton
Title Coo
Phone (479) 273-3376

Other identifiers

Identifier Type State Issuer
1679521405 Other AR NPI - MILDRED CLIFTON, MD
03060015000 Other AR QUALCHOICE

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

What type of organization is Premier Dermatology & Skin Renewal Center?
Premier Dermatology & Skin Renewal Center is registered in NPPES as a Clinical & Laboratory Dermatological Immunology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.