Davis, Gordon H

Davis, Gordon H is an sole proprietor health care provider with primary practice located at 4161 Route 22 , Plattsburgh NY 12901-5883. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Davis, Gordon H can be contacted via phone (518) 563-0040.

Contact Information

Primary practice address
4161 Route 22 Plattsburgh NY 12901-5883
Fax: (518) 562-0632
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 047679-1 New York

Profile Details

NPI number 1528096765
LBN Legal business name Davis, Gordon H
Credentials DMD,DMSC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Apr 29th, 2024 - about 5 months 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.

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