Provider Demographics
NPI:1376616722
Name:PABIAN, JOSEPH J JR (DDS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:J
Last Name:PABIAN
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W 26TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114-2127
Mailing Address - Country:US
Mailing Address - Phone:501-753-3566
Mailing Address - Fax:
Practice Address - Street 1:500 W 26TH ST
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-2127
Practice Address - Country:US
Practice Address - Phone:501-753-3566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1940122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist