Dr. Gordon H Davis, DMD,DMSc
Dentist, Periodontics in Plattsburgh, NY. Individual provider (NPI-1).
NPI number1528096765
StatusActive
Last updated in NPPESApr 29, 2024
Details
- NPI
- 1528096765
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gordon H Davis
- Credential
- DMD,DMSc
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 28, 2006
- Certification date
- Apr 29, 2024
- Last updated
- Apr 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 047679-1 | NY | Yes |
Practice location
4161 Route 22Plattsburgh, NY 12901-5883
Phone 518-563-0040 · Fax 518-562-0632
Mailing address
4161 Route 22Plattsburgh, NY 12901-5883
Phone 518-563-0040 · Fax 518-562-0632
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.