Cardon, Jeremy G

Cardon, Jeremy G is an sole proprietor health care provider with primary practice located at 718 Maleta Ln Ste 102, Castle Rock CO 80108-7602. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Cardon, Jeremy G can be contacted via phone (303) 814-9899.

Contact Information

Primary practice address
718 Maleta Ln Ste 102 Castle Rock CO 80108-7602
Phone: (303) 814-9899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE60034302 Washington
Dental Providers / Dentist 122300000X DD3475 New Mexico
Dental Providers / Dentist 122300000X DEN.00202126 Colorado

Profile Details

NPI number 1053577130
LBN Legal business name Cardon, Jeremy G
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2008
Last updated Dec 19th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053577130 NPPES
Washington Other DE60034302 WASHINGTON STATE DENTAL LICENSE

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