DR. GORDON BRUCE DAVIS


Address: 1111 Pacific Ave, Ste 1, Everett, WA 98201-4200
Phone: 4253481382

DR. GORDON BRUCE DAVIS (NPI# 1477641041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477641041
Entity Type Individual
Full Name DR. GORDON BRUCE DAVIS
Credential M.D., D.D.S.
Practice Address 1111 Pacific Ave
Ste 1
Everett
WA 98201-4200
Mailing Address 9810 Marine View Dr
Mukilteo
WA 98275-4110
Practice Telephone 4253481382
Practice Fax Number 4259034402
Mailing Telephone 4253481382
Mailing Fax Number 4259034402
Enumeration Date 2006-10-10
Last Update Date 2016-05-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
4915 WA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA WASHINGTON DENTAL SERVICE 5161 01
CA DENTAL LICENSE NUMBER 21701 01
WA MD LICENSE NUMBER 14666 01
WA DENTAL LICENSE NUMBER DE00004915 01

Other Providers GORDON DAVIS

NPI Name Taxonomy Address Enumeration
1932527843 Gordon Theodore Davis General Practice 3226 Maybank Highway Suite 1-a, Barrier Islands Free Medical Clinics, Johns Island, SC 29455 2014-03-29
1043302656 Gordon Doyle Davis Obstetrics & Gynecology 300 W Clarendon, #100, Phoenix, AZ 85013 2006-09-29
1528096765 Gordon H Davis Dentist 8 Healey Ave, Plattsburgh, NY 12901-2413 2006-06-28
1124153101 Gordon C Davis Family Medicine 10149 Woodhaven Blvd, Ozone Park, NY 11416-2300 2007-02-22
1164457354 Gordon Scott Davis Anesthesiology 17480 Dallas Pkwy, Suite 125, Dallas, TX 75287-7337 2006-07-12
1578528154 Gordon Bruce Davis Pediatrics 740 Cool Springs Blvd, Suite 140, Franklin, TN 37067-6448 2006-04-18

Office Location

Street Address 1111 PACIFIC AVE
STE 1
City EVERETT
State WA
Zip Code 98201-4200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720021140 Thomas P Cooper Urology 1111 Pacific Ave, Everett, WA 98201-4200 2006-06-14
1073826996 Gordon B Davis Md Dds Ps Dentist 1111 Pacific Ave, Suite A, Everett, WA 98201-4200 2010-07-20
1952512329 Hooman Hajian Internal Medicine 1111 Pacific Ave, Suite B, Everett, WA 98201-4200 2007-05-25
1114031655 Chia-jen Kuan Internal Medicine 1111 Pacific Ave, Suite B, Everett, WA 98201-4032 2006-08-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306471867 Shannon Michelle Dewald Registered Nurse D8s 1700 13th St, Everett, WA 98201 2020-03-05
1578123113 Precious Medicial Spa, LLC Registered Nurse 1728 W. Marine View Dr Suite 212, Everett, WA 98201 2019-06-17
1508429796 Alix Deschain Counselor 2801 Broadway, Everett, WA 98201 2019-04-15
1811457534 Khushboo Patel Pharmacist 1330 Rockefeller Ave Ste 150, Everett, WA 98201 2019-03-20
1164991188 Grace Talbot Davis Registered Nurse 2601 Summit Avenue, Bldg. C, Everett, WA 98201 2018-11-20
1063924603 Tracy Sisk Counselor 3120 Colby Ave, 502, Everett, WA 98201 2017-11-03
1710403126 Michelle Durham Counselor 3322 Boadway Fl 2, Everett, WA 98201 2017-08-17
1861927949 Melanie Schmidt Counselor 2610 Westmore Ave, Everett, WA 98201 2017-04-26
1518413327 Joseph Madson Dmd Pllc Clinic/Center 3802 Colby Ave, 4th Floor, Everett, WA 98201 2016-08-31
1043683162 Jennifer Adams Counselor 1511 26th St, Everett, WA 98201 2015-11-11
Find all providers in zip 98201

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104396969 Mark Stivers, Dds, Inc., P.s. Dentist 12728 19th Ave Se Ste 101, Everett, WA 98208-6526 2018-12-04
1932496809 Marc J Toso Dentist 5929 Evergreen Way Ste 300, Everett, WA 98203 2011-06-29
1710906300 Christopher Michael Lance Dentist 138 Memorial Dr, Everett, PA 15537-7028 2006-07-18
1316946437 Mark W Stivers Dentist 12728 19th Ave Se # 101, Everett, WA 98208 2005-07-20
1073826996 Gordon B Davis Md Dds Ps Dentist 1111 Pacific Ave, Suite A, Everett, WA 98201-4200 2010-07-20
1184944001 Washingtonoralmaxillofacialsurgery Dentist 5929 Evergreen Way, 300, Everett, WA 98203-6031 2010-06-02
1770787442 Paul E Tesone Dds Inc Dentist 563 Broadway, Suite 4, Everett, MA 02149 2007-06-14
1184779977 Paul Edward Tesone Dentist 563 Broadway, #4, Everett, MA 02149 2007-01-24
1538257308 Jae Y Hong Dentist 5929 Evergreen Way, # 300, Everett, WA 98203-6031 2006-10-10
1972522530 Gregory Wynn Pyle Dentist 138 Memorial Dr, Everett, PA 15537-7028 2006-07-18
Find all providers in EVERETT

Competitor

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City EVERETT
Zip Code 98201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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