| Cardon & Sorrow Oral And Maxillofacial Surgery Plc | |
|
683 Robinson Rd Jackson MI 49203-1155 | |
| (517) 787-0417 | |
| (517) 787-5536 |
| Full Name | Cardon & Sorrow Oral And Maxillofacial Surgery Plc |
|---|---|
| Speciality | Dentist |
| Location | 683 Robinson Rd, Jackson, Michigan |
| Authorized Official Name and Position | Orson P Cardon (OWNER, PRESIDENT) |
| Authorized Official Contact | 5177870417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardon & Sorrow Oral And Maxillofacial Surgery Plc 683 Robinson Rd Jackson MI 49203-1155 Ph: (517) 787-0417 | Cardon & Sorrow Oral And Maxillofacial Surgery Plc 683 Robinson Rd Jackson MI 49203-1155 Ph: (517) 787-0417 |
| NPI Number | 1639369358 |
|---|---|
| Provider Enumeration Date | 07/30/2007 |
| Last Update Date | 01/02/2013 |
| Medicare PECOS PAC ID | 5799922712 |
|---|---|
| Medicare Enrollment ID | O20130513000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639369358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | OC016653 (Michigan) | Primary |
| Provider Name | Orson P Cardon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851496830 PECOS PAC ID: 4789629320 Enrollment ID: I20050623000602 |
| Provider Name | Ronnie R Sorrow |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1962659680 PECOS PAC ID: 1658564596 Enrollment ID: I20101022001229 |
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