# CARDON & SORROW ORAL AND MAXILLOFACIAL SURGERY PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639369358
- **Authorized official:** DR. ORSON P CARDON D.M.D. (OWNER, PRESIDENT)
- **Authorized official phone:** (517) 787-0417

## Contact information

- **Practice address:** 683 ROBINSON RD, JACKSON, MI 49203-1155
- **Practice address phone:** (517) 787-0417
- **Practice address fax:** (517) 787-5536
- **Mailing address:** 683 ROBINSON RD, JACKSON, MI 49203-1155
- **Mailing address phone:** (517) 787-0417
- **Mailing address fax:** (517) 787-5536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | OC016653 | MI | Yes |

## Other

- **Enumeration date:** 07/30/2007
- **Last updated:** 01/02/2013
