DR. BRUCE GREGORY DAVIS (NPI# 1770551624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770551624 |
| Entity Type | Individual |
| Full Name | DR. BRUCE GREGORY DAVIS |
| Credential | DDS |
| Practice Address |
863 Route #146 Clifton Park NY 12065 |
| Practice Telephone | 5183833960 |
| Practice Fax Number | 5183833973 |
| Mailing Telephone | 5183833960 |
| Mailing Fax Number | 5183833973 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 041746 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952534539 | Bruce Bernard Davis II | Counselor | 4101 Nw Expressway, Apt. 16131, Oklahoma City, OK 73116-1700 | 2009-08-28 |
| 1780716274 | Bruce Terriel Davis | Licensed Practical Nurse | 416 Cove Beach Ave, Sheffield Lake, OH 44054-1819 | 2007-03-10 |
| 1437127073 | Bruce C. Davis | Surgery | 6242 E. Arbor Ave., Suite 101, Mesa, AZ 85206-1309 | 2006-03-09 |
| 1467440230 | Bruce E Davis | Counselor | 1500 21st Ave S, 2nd Floor Suite 2200, Nashville, TN 37212-3160 | 2005-10-06 |
| 1932716990 | Bruce B Davis | Case Manager/Care Coordinator | 12305 Arlington Ave, Cleveland, OH 44108-2359 | 2020-09-24 |
| 1578064895 | Bruce Wayne Davis | Counselor | 510 Tacoma Ave S, Tacoma, WA 98402-5416 | 2018-02-22 |
| 1437499688 | Bruce Allan Davis | Internal Medicine | 1916 Patterson St, Suite 700, Nashville, TN 37203-2120 | 2013-02-26 |
| 1912257981 | Bruce Davis | Social Worker | 50 Moody St, Saco, ME 04072-1536 | 2012-09-17 |
| 1730484270 | Bruce Davis | Chiropractor | 110 Main St, Suite 101, Edmonds, WA 98020-3190 | 2011-01-13 |
| 1922323344 | Bruce Davis | Counselor | 4000 W Spencer St, Appleton, WI 54914-4015 | 2010-03-29 |
| Street Address |
863 ROUTE #146 |
| City | CLIFTON PARK |
| State | NY |
| Zip Code | 12065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1679116115 | Mary Beth Bulger | Registered Nurse | Shenendehowa Central School, 970 Rt 146, Clifton Park, NY 12065 | 2019-10-28 |
| 1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
| 1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
| 1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1245723907 | Catherine Marie Blaauboer I | Licensed Practical Nurse | 206 Alnut Drive, Clifton Park, NY 12065 | 2018-06-07 |
| 1326530627 | Melissa Morgan | Physician Assistant | 29 Mann Blvd, Halfmoon, NY 12065 | 2018-06-01 |
| 1982101465 | Janelle Stannard | Occupational Therapist | 23 Sitterly Road, Clifton Park, NY 12065 | 2018-04-10 |
| 1962903831 | Clifton Park Asc LLC | Clinic/Center | 16 Maxwell Dr., Clifton Park, NY 12065 | 2018-02-26 |
| Find all providers in zip 12065 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770987992 | Suzanne Busun Ahn | Dentist | 728 Plank Rd, Clifton Park, NY 12065-2017 | 2014-10-17 |
| 1982810586 | Nagarju Namassivaya | Dentist | Suite 164, 22 Clifton Country Road, Clifton Park, NY 12065 | 2007-05-14 |
| 1063625861 | Stephen P Dautel | Dentist | 1631 Crescent Rd, Clifton Park, NY 12065-6802 | 2007-05-08 |
| 1760517841 | Scott Evan Zitofsky | Dentist | 601 Bruno Rd, Clifton Park, NY 12065-1904 | 2007-02-22 |
| 1366555724 | Horst Renz | Dentist | 601 Bruno Road, Clifton Park, NY 12065 | 2006-08-17 |
| 1427008846 | Donald J Macina | Dentist | 1536 Crescent Rd, Plaza 8, Clifton Park, NY 12065-7729 | 2006-05-10 |
| 1467415026 | Michael Lewis King | Dentist | 863 Route 146, Clifton Park, NY 12065 | 2006-04-06 |
| 1568982783 | Molly Beth Kovalesky | Dentist | 713 Pierce Rd, Clifton Park, NY 12065 | 2017-06-20 |
| 1164653630 | Casey Anne Tenniswood | Dentist | 532 Moe Rd, Clifton Park, NY 12065-3822 | 2009-08-01 |
| 1639349962 | Anupindher Singh | Dentist | 1753 Route 9, Clifton Park, NY 12065-2411 | 2008-03-03 |
| Find all providers in CLIFTON PARK | ||||
| City | CLIFTON PARK |
| Zip Code | 12065 |
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| 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.