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Individual

DR. CHRISTOPHER SCOTT CORDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
120 W STEPHEN FOSTER AVE STE 104, BARDSTOWN, KY 40004-1457
(502) 348-5800
(502) 722-2116
Mailing address
120 W STEPHEN FOSTER AVE STE 104, BARDSTOWN, KY 40004-1457
(502) 348-5800
(502) 348-9990

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7645
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10964
DORAL DENTAL PASSPORT, KY
KY
05
60000395
KY
Enumeration date
10/25/2005
Last updated
07/21/2022
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