Organization
ADIRONDACK PERIODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON H DAVIS DMD, DMSC (OWNER)
(518) 563-0040
Entity
Organization
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
—
—
261QD0000X
Dental Clinic/Center
Primary
047679-1
NY
Other
Enumeration date
03/30/2009
Last updated
04/29/2024
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