Individual
JACOB WHITING FIRL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 451-2208
Mailing address
700 MCHUGH BLVD, CAMP LEJEUNE, NC 28540
(910) 451-1658
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-5520
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2023
Last updated
03/16/2026
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