Samuel F. Jirik is a Dentist in Cabot, Arkansas. Samuel F. Jirik practices all healthcare services and medical treatments related to Dentist. The NPI Number for Samuel F. Jirik is 1114076759. The last update date is 2007-07-08.
Samuel F. Jirik's current location address is 606 W Main St, Cabot, Arkansas. You can contact this provider via phone number 5018439561 and fax number 5018435971. The mailing address for Samuel F. Jirik is 606 W Main St, Cabot, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel F. Jirik |
|---|---|
| Address | 606 W Main St, Cabot, Arkansas |
| Phone Number | 5018439561 |
| Fax Number | 5018435971 |
| Sole Proprietor | Y |
| Credentials | DDS, PA |
NPI Number Detail
| NPI Number | 1114076759 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 606 W Main St |
|---|---|
| City | Cabot |
| State | Arkansas (AR) |
| Post Code | 720232423 |
| Phone Number | 5018439561 |
| Fax Number | 5018435971 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | AR2741 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2741 | AR | STATE LICENSE | |
| 59168 | AR | BCBS PROVIDER | |
| 625384 | AR | UNITED CONCORDIA PROVIDER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Samuel F. Jirik?
The Samuel F. Jirik has been issued the NPI (National Provider Identifier) 1114076759 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Samuel F. Jirik is physically located?
The Samuel F. Jirik is situated at the following address: 606 W Main St, Cabot, AR 720232423.
What is Samuel F. Jirik's area of expertise and its corresponding taxonomy classification?
The Samuel F. Jirik's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1114076759 to Samuel F. Jirik?
The Samuel F. Jirik received its 1114076759 assignment from the Centers for Medicare & Medicaid Services on 2007-01-10.
When was the information regarding Samuel F. Jirik, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Samuel F. Jirik, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.