Provider Demographics
NPI:1275636318
Name:CORDINI, FRANCO (DDS, MS, MBA)
Entity Type:Individual
Prefix:DR
First Name:FRANCO
Middle Name:
Last Name:CORDINI
Suffix:
Gender:M
Credentials:DDS, MS, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9710 PARK PLAZA AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-2291
Mailing Address - Country:US
Mailing Address - Phone:502-425-5010
Mailing Address - Fax:502-425-5808
Practice Address - Street 1:9710 PARK PLAZA AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-2291
Practice Address - Country:US
Practice Address - Phone:502-425-5010
Practice Address - Fax:502-425-5808
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY77951223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics