Provider Demographics
NPI:1538566328
Name:CORDEN, ALAYNA CONSTANCE (DMD)
Entity type:Individual
Prefix:DR
First Name:ALAYNA
Middle Name:CONSTANCE
Last Name:CORDEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10258 SOUTHWEST HWY STE C
Mailing Address - Street 2:
Mailing Address - City:CHICAGO RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60415-1361
Mailing Address - Country:US
Mailing Address - Phone:248-910-2194
Mailing Address - Fax:
Practice Address - Street 1:10258 SOUTHWEST HWY STE C
Practice Address - Street 2:
Practice Address - City:CHICAGO RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60415-1361
Practice Address - Country:US
Practice Address - Phone:708-576-8442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-23
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.030838122300000X
IL021.002770019.0308381223E0200X
SCDGD 84691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice