Provider Demographics
NPI:1225268584
Name:CORTESE, FRANK (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:CORTESE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24670 E APPLEWOOD CIR
Mailing Address - Street 2:UNIT 711
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-3930
Mailing Address - Country:US
Mailing Address - Phone:410-227-3767
Mailing Address - Fax:
Practice Address - Street 1:510 KAINS AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94706-1217
Practice Address - Country:US
Practice Address - Phone:410-227-3767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO98801223G0001X
CA580151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice