Gary Renegar is a Periodontics in Fayetteville, Arkansas. Gary Renegar practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Gary Renegar is 1326145350. The last update date is 2007-07-08.
Gary Renegar's current location address is 1831 N Green Acres Rd, Fayetteville, Arkansas. You can contact this provider via phone number 4795216400 and fax number 4795210164. The mailing address for Gary Renegar is 1831 N Green Acres Rd, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Renegar |
|---|---|
| Address | 1831 N Green Acres Rd, Fayetteville, Arkansas |
| Phone Number | 4795216400 |
| Fax Number | 4795210164 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1326145350 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1831 N Green Acres Rd |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727032615 |
| Phone Number | 4795216400 |
| Fax Number | 4795210164 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 1942 |
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Definition: That specialty 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 structure |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 58605 | AR | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gary Renegar by the Centers for Medicare & Medicaid Services?
The Gary Renegar has been assigned the NPI (National Provider Identifier) 1326145350 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Gary Renegar's facilities are situated?
The facilities of Gary Renegar are physically located at the following address: 1831 N Green Acres Rd, Fayetteville, AR, 727032615.
What is Gary Renegar's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gary Renegar is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
On what date was the 1326145350 assigned to Gary Renegar?
The Gary Renegar was issued its 1326145350 on 2006-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Gary Renegar's details last updated?
The information pertaining to the Gary Renegar, including its address, specialty, and other details, was most recently updated on 2007-07-08.