Provider Demographics
NPI:1457889842
Name:FIRMAN, JULIAN (DDS)
Entity Type:Individual
Prefix:
First Name:JULIAN
Middle Name:
Last Name:FIRMAN
Suffix:
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 1:52 LAKELAND DR
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-7827
Mailing Address - Country:US
Mailing Address - Phone:580-678-0186
Mailing Address - Fax:
Practice Address - Street 1:3284 HIGHWAY 367 S
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-7444
Practice Address - Country:US
Practice Address - Phone:501-843-5808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2017-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR41641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice