Provider Demographics
NPI:1336360783
Name:CONDORI, FRANKLIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:
Last Name:CONDORI
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 1:4560 15TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-5140
Mailing Address - Country:US
Mailing Address - Phone:239-353-7424
Mailing Address - Fax:
Practice Address - Street 1:12435 COLLIER BLVD STE 105
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-6041
Practice Address - Country:US
Practice Address - Phone:239-455-0221
Practice Address - Fax:239-455-7859
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN# 124451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice