Individual
DR. SAMUEL F. JIRIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PA
Contact information
Practice address
606 W MAIN ST, CABOT, AR 72023-2423
(501) 843-9561
(501) 843-5971
Mailing address
606 W MAIN ST, CABOT, AR 72023-2423
(501) 843-9561
(501) 843-5971
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
AR2741
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2741
STATE LICENSE
AR
01
—
59168
BCBS PROVIDER
AR
01
—
625384
UNITED CONCORDIA PROVIDER
AR
Enumeration date
01/10/2007
Last updated
02/12/2026
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