Dr Sherdon Wade Cordova, DDS is a
Dentist - Oral And Maxillofacial Surgery based in Saint Joseph, Illinois. Dr Sherdon Wade Cordova is licensed to practice in Illinois (license number 019.026964) and his current practice location is
614 Laurel Dr, Saint Joseph, Illinois. He can be reached at his office (for appointments etc.) via phone at
(217) 383-3289.
NPI number for Dr Sherdon Wade Cordova is 1568594638 and his current mailing address is 614 Laurel Dr, Saint Joseph, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568594638.
Healthcare Provider's Profile
| Full Name | Dr Sherdon Wade Cordova |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
|---|
| Location | 614 Laurel Dr, Saint Joseph, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1568594638
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 05/04/2011
Medical Identifiers
Medical identifiers for Dr Sherdon Wade Cordova such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568594638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019.026964 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sherdon Wade Cordova is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Sherdon Wade Cordova, DDS
614 Laurel Dr,
Saint Joseph, IL 61873-9402
Ph: (217) 383-3289 | Dr Sherdon Wade Cordova, DDS
614 Laurel Dr,
Saint Joseph, IL 61873-9402
Ph: (217) 383-3289 |
Reviews and Comments