Organization
CORNERSTONE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN AUBREY FRANKLIN DMD (PRESIDENT)
(813) 448-7828
Entity
Organization
Contact information
Practice address
4009 TAMPA RD, SUITE 6, OLDSMAR, FL 34677-3206
(813) 448-7828
Mailing address
4009 TAMPA RD, SUITE 6, OLDSMAR, FL 34677-3206
(813) 448-7828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
F11975
FL
1223E0200X
Endodontics
DN00186
FL
1223P0300X
Periodontics
DN18577
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN 14080
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/14/2012
Last updated
12/24/2019
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