Sharon S Jordon PC

Primary specialty

DentistTaxonomy code 122300000X

License

9686 Issued in GA

Legal business name

SHARON S JORDON PC

Practice address

2614 Cherokee Ave
Macon, GA 31204-3924

Phone

(478) 743-3583

Fax

(478) 743-3398

NPI assigned

Aug 11, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sharon Snell Jordan, DMD

Title

Doctor/Dentist

Phone

(478) 763-3583

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871595637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 CHEROKEE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043924",
            "telephone_number": "478-743-3583",
            "fax_number": "478-743-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 CHEROKEE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043924",
            "telephone_number": "478-743-3583",
            "fax_number": "478-743-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON S JORDON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "SNELL",
        "authorized_official_title_or_position": "DOCTOR/DENTIST",
        "authorized_official_telephone_number": "478-763-3583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "9686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00254878C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Macon, GA
• Providers in Macon, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.