Gordon Bruce Davis in Mukilteo - Oral And Maxillofacial Surgery
Gordon Bruce Davis - NPI 1477641041
Gordon Bruce Davis is a Oral And Maxillofacial Surgery in Mukilteo, Washington. Gordon Bruce Davis practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Gordon Bruce Davis is 1477641041. The last update date is 2016-05-05.
Gordon Bruce Davis's current location address is 9810 Marine View Dr, Mukilteo, Washington. You can contact this provider via phone number 4253481382 and fax number 4259034402. The mailing address for Gordon Bruce Davis is 9810 Marine View Dr, Mukilteo, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon Bruce Davis |
|---|---|
| Address | 9810 Marine View Dr, Mukilteo, Washington |
| Phone Number | 4253481382 |
| Fax Number | 4259034402 |
| Sole Proprietor | Y |
| Credentials | M.D., D.D. |
NPI Number Detail
| NPI Number | 1477641041 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2016-05-05 |
Provider Mailing Address Detail
| Address | 9810 Marine View Dr |
|---|---|
| City | Mukilteo |
| State | Washington (WA) |
| Post Code | 982754110 |
| Phone Number | 4253481382 |
| Fax Number | 4259034402 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 4915 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5161 | WA | WASHINGTON DENTAL SERVICE | |
| 21701 | CA | DENTAL LICENSE NUMBER | |
| DE00004915 | WA | DENTAL LICENSE NUMBER | |
| 14666 | WA | MD LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Gordon Bruce Davis by the Centers for Medicare & Medicaid Services?
The Gordon Bruce Davis has been issued the NPI (National Provider Identifier) 1477641041. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gordon Bruce Davis is physically located?
The Gordon Bruce Davis is situated at the following address: 9810 Marine View Dr, Mukilteo, WA 982754110.
What is Gordon Bruce Davis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gordon Bruce Davis's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
When did Gordon Bruce Davis receive its 1477641041 assignment?
The Gordon Bruce Davis was assigned its 1477641041 on 2006-10-10, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Gordon Bruce Davis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gordon Bruce Davis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-05-05.