GORDON B DAVIS MD DDS PS NPI 1073826996

NPI Information

GORDON B DAVIS MD DDS PS is an oral and maxillofacial surgery dentist in Everett, WA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. GORDON B DAVIS MD DDS PS NPI is 1073826996. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1111 PACIFIC AVE
SUITE A
EVERETT, WA
ZIP 98201-200
Phone: (425) 258-9586
Fax: (425) 259-1486

The provider's authorized official is Gordon Bruce Davis .
The authorized official title is President and has the following contact phone number (425) 348-1382.

The enumeration date for this NPI number is 7/20/2010 and was last updated on 5/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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