Organization
SHARON S JORDON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON SNELL JORDAN DMD (DOCTOR/DENTIST)
(478) 763-3583
Entity
Organization
Contact information
Practice address
2614 CHEROKEE AVE, MACON, GA 31204-3924
(478) 743-3583
(478) 743-3398
Mailing address
2614 CHEROKEE AVE, MACON, GA 31204-3924
(478) 743-3583
(478) 743-3398
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9686
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00254878C
—
GA
Enumeration date
08/11/2005
Last updated
08/22/2020
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