Davis, Gordon Bruce
Davis, Gordon Bruce is an sole proprietor health care provider with primary practice located at 1111 Pacific Ave Ste 1, Everett WA 98201-4200. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Davis, Gordon Bruce can be contacted via phone (425) 348-1382.Contact Information
Primary practice address
1111 Pacific Ave Ste 1
Everett WA 98201-4200
Phone: (425) 348-1382
Fax: (425) 903-4402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 4915 | Washington |
Profile Details
| NPI number | 1477641041 |
|---|---|
| LBN Legal business name | Davis, Gordon Bruce |
| Credentials | M.D., D.D.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | May 5th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477641041 | NPPES |
| Washington | Other | 5161 | WASHINGTON DENTAL SERVICE |
| Washington | Other | 21701 | WASHINGTON DENTAL SERVICE |
| Washington | Other | DE00004915 | WASHINGTON DENTAL SERVICE |
| Washington | Other | 14666 | WASHINGTON DENTAL SERVICE |
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