Provider Demographics
NPI:1518274612
Name:CORDRAY, FRANK EDWARD (DDSMS)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:EDWARD
Last Name:CORDRAY
Suffix:
Gender:M
Credentials:DDSMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:96 NORTHWOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-4722
Mailing Address - Country:US
Mailing Address - Phone:614-436-7761
Mailing Address - Fax:614-436-6774
Practice Address - Street 1:96 NORTHWOODS BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-4722
Practice Address - Country:US
Practice Address - Phone:614-436-7761
Practice Address - Fax:614-436-6774
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300176371223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics