Individual
DR. GORDON H DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD,DMSC
Contact information
Practice address
4161 ROUTE 22, PLATTSBURGH, NY 12901-5883
(518) 563-0040
(518) 562-0632
Mailing address
4161 ROUTE 22, PLATTSBURGH, NY 12901-5883
(518) 563-0040
(518) 562-0632
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
047679-1
NY
Other
Enumeration date
06/28/2006
Last updated
04/29/2024
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