Jeremy G Cardon in Castle Rock - Dentist

Jeremy G Cardon - NPI 1053577130

Jeremy G Cardon is a Dentist in Castle Rock, Colorado. Jeremy G Cardon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeremy G Cardon is 1053577130. The last update date is 2013-12-19.

Jeremy G Cardon's current location address is 718 Maleta Ln, Castle Rock, Colorado. You can contact this provider via phone number 3038149899. The mailing address for Jeremy G Cardon is 718 Maleta Ln, Castle Rock, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeremy G Cardon
Address 718 Maleta Ln, Castle Rock, Colorado
Phone Number 3038149899
Fax Number
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1053577130
Provider Enumeration Date 2008-07-29
Last Updated Date 2013-12-19

Provider Mailing Address Detail

Address 718 Maleta Ln
City Castle Rock
State Colorado (CO)
Post Code 801087602
Phone Number 3038149899
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DD3475
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DE60034302 WA WASHINGTON STATE DENTAL LICENS

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FAQs about Jeremy G Cardon

What is the unique provider identifier assigned to Jeremy G Cardon?

The Jeremy G Cardon has been issued the NPI (National Provider Identifier) 1053577130 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Jeremy G Cardon is physically located?

The Jeremy G Cardon is situated at the following address: 718 Maleta Ln, Castle Rock, CO 801087602.

What is Jeremy G Cardon's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jeremy G Cardon's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did the Jeremy G Cardon receive the assignment of its 1053577130 from the Centers for Medicare & Medicaid Services?

The Jeremy G Cardon was issued its 1053577130 by the Centers for Medicare & Medicaid Services on 2008-07-29.

As of what date were the details pertaining to Jeremy G Cardon last refreshed?

The information related to the Jeremy G Cardon, including its address, specialty, and other relevant details, was last updated on 2013-12-19.

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