Provider Demographics
NPI:1790900488
Name:CORDANO, RICHARD ANDREW (DDS)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:ANDREW
Last Name:CORDANO
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 1:950 THARP RD STE 400
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-8346
Mailing Address - Country:US
Mailing Address - Phone:530-671-2750
Mailing Address - Fax:530-671-5468
Practice Address - Street 1:950 THARP RD
Practice Address - Street 2:STE 400
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-8344
Practice Address - Country:US
Practice Address - Phone:530-671-2750
Practice Address - Fax:530-671-5468
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28296122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist