Paul Nolan Cardon, D.D.S.
Individual provider Active NPI Dentist · Monument, CO
NPI 1083618342 · NPPES record last updated Nov 13, 2015
Key facts
- NPI
- 1083618342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 6400 (CO)
- Practice address
- 325 2ND St
Monument, CO 80132-7935 - Phone
- (719) 481-4949
- Fax
- (719) 481-4989
- NPI assigned
- Jun 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6400 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul N Cardon DDS LLC | Current |
Accepting new patients |
Locations
757 W Stadium Blvd
Ste B
Jefferson City, MO 65109
Phone (573) 584-6770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6400 | CO | Yes |
Addresses
Primary practice location
325 2ND St
Monument, CO 80132-7935
Mailing address
757W Stadium Blvd B
Jefferson City, MO 65109-4786
Phone (573) 636-5522
Other providers in Monument, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.