Provider Demographics
NPI:1598640609
Name:FLYS, JULIAN (DMD)
Entity type:Individual
Prefix:
First Name:JULIAN
Middle Name:
Last Name:FLYS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 N OXFORD VALLEY RD STE 106
Mailing Address - Street 2:
Mailing Address - City:FAIRLESS HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19030-2626
Mailing Address - Country:US
Mailing Address - Phone:267-237-8566
Mailing Address - Fax:
Practice Address - Street 1:333 N OXFORD VALLEY RD STE 106
Practice Address - Street 2:
Practice Address - City:FAIRLESS HILLS
Practice Address - State:PA
Practice Address - Zip Code:19030-2626
Practice Address - Country:US
Practice Address - Phone:267-237-8566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0453951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice