Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fayetteville Plastic Surgery Clinic

Organization Specialist · NPI 1538358247

Fayetteville Plastic Surgery Clinic provides Specialist services in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.

Licensed in
AR
In the registry since
2007

Practice location Address checks out

1794 E Joyce Blvd Ste 1
Fayetteville, AR 72703-5256 Not confirmed with CMS for 18 years — call before visiting
Phone: (479) 443-7771
Fax: (479) 443-7790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence R3739 (AR)

Record details

NPI number1538358247
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official C Sandlin — Administrator · (479) 443-7771
Other names Plastic Surgery Clinic Of Northwest Arkansas
NPI enumeratedOctober 18, 2007
Last updated in NPPESOctober 25, 2007
Mailing address1794 E Joyce Blvd, Suite 1, Fayetteville, AR 72703-5256

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