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Dr. Gordon Bruce Davis, MD,DDS
Oral and Maxillofacial Surgery (Dentist) in Everett, Washington
NPI 1477641041

Gordon Bruce Davis is a Oral and Maxillofacial Surgery (Dentist) based in Mukilteo, WA and is specialized in Oral and Maxillofacial Surgery. Gordon Bruce Davis practices in Everett, WA and has the professional credentials of MD,DDS. The NPI Number for Gordon Bruce Davis is 1477641041 and holds a License No. 4915 (Washington).

The current practice location address for Gordon Bruce Davis is 1111 Pacific Ave, Everett, WA and can be reached out via phone at 425-348-1382 and via fax at 425-903-4402.

Location: 1111 Pacific Ave, Everett, WA, 98275-4110
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Provider Profile Details
NPI Number
1477641041
Provider Name
Gordon Bruce Davis
Credential
MD,DDS
Provider Entity Type
Individual
Gender
Male
Address
1111 Pacific Ave, Everett, WA, 98275-4110
Phone Number
425-348-1382
Fax Number
425-903-4402
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5161 01 WA WASHINGTON DENTAL SERVICE
21701 01 CA DENTAL LICENSE NUMBER
DE00004915 01 WA DENTAL LICENSE NUMBER
14666 01 WA MD LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1111 Pacific Ave
City
State
Zip
98201-4200
Phone Number
425-348-1382
Fax Number
425-903-4402
person
Provider Business Mailing Address Details
Address
1111 Pacific Ave
City
State
Zip
98201-4200
Phone Number
425-348-1382
Fax Number
425-903-4402
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
4915 (Washington)
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.
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