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General NPI Number Information
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NPI Number | 1154273548
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Entity Type | Organization
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Legal Business Name | SAMUEL F. JIRIK DDS PA
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 606 W MAIN ST
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City | CABOT
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State | AR
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Zip | 72023-2423
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Country | US
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Telephone | 501-843-9561
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Fax | 501-843-5971
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Provider Business Mailing Address
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Address Line | 606 W MAIN ST
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City | CABOT
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State | AR
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Zip | 72023-2423
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Country | US
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Telephone | 501-843-9561
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Fax | 501-843-5971
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAMUEL FREDRICK JIRIK
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Credential | DDS
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Telephone | 501-843-9561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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