Jordan, Sharon Snell
Jordan, Sharon Snell is an sole proprietor health care provider with primary practice located at 2614 Cherokee Ave , Macon GA 31204-3924. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Jordan, Sharon Snell can be contacted via phone (478) 743-3583.Contact Information
Primary practice address
2614 Cherokee Ave
Macon GA 31204-3924
Phone: (478) 743-3583
Fax: (478) 743-8847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN009686 | Georgia |
Profile Details
| NPI number | 1316237688 |
|---|---|
| LBN Legal business name | Jordan, Sharon Snell |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2011 |
| Last updated | Jan 25th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316237688 | NPPES |
| Georgia | MEDICAID | 00254878C |
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