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GORDON B DAVIS MD DDS PS
NPI 1073826996
Dentist - Oral and Maxillofacial Surgery in Everett, WA

Active since July 20, 2010
1111 PACIFIC AVE, SUITE A, EVERETT, WA 98201(425) 258-9586(425) 259-1486 Get Directions Write a Review

NPPES record last updated: May 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gordon B Davis Md Dds Ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GORDON B DAVIS MD DDS PS (NPI 1073826996) is a healthcare organization registered as an oral and maxillofacial surgery in Everett, Washington and active in the NPI registry since July 2010. The organization lists Gordon Bruce Davis, President, as its authorized official.

NPPES Registry Identity

NPI1073826996
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameGORDON B DAVIS MD DDS PS
Location Address1111 PACIFIC AVE, SUITE AEverett, WA 98201-4200
Mailing Address9810 Marine View DrMukilteo, WA 98275-4110 · (425) 348-1382 · Fax (425) 903-4402
Phone(425) 258-9586
Fax(425) 259-1486
Organization SubpartNo
Authorized OfficialGordon Bruce DavisPresident · (425) 348-1382
Enumeration DateJuly 20, 2010
Last NPPES UpdateMay 5, 2016
✔ NPI 1073826996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in 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.
1111 PACIFIC AVE, Everett, WA 98201
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Other Identifiers 2

Medicare UPINA09087WA
Medicare PING001200184WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHIA-JEN KUAN M.D., PHD
Internal Medicine (Nephrology)
1111 PACIFIC AVE, SUITE B
EVERETT, WA 98201
Snohomish County (425) 257-1100
DR. GORDON BRUCE DAVIS M.D., D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1111 PACIFIC AVE, STE 1
EVERETT, WA 98201
Snohomish County (425) 348-1382
HOOMAN HAJIAN M.D.
Internal Medicine (Nephrology)
1111 PACIFIC AVE, SUITE B
EVERETT, WA 98201
Snohomish County (425) 257-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gordon B Davis MD Dds Ps's NPI number?

The NPI number for Gordon B Davis MD Dds Ps is 1073826996. It was assigned to this organization in the NPPES registry on July 20, 2010.

Where is Gordon B Davis MD Dds Ps located?

Gordon B Davis MD Dds Ps is located at 1111 Pacific Ave Suite A, Everett, WA 98201. The listed phone number is (425) 258-9586.

What is Gordon B Davis MD Dds Ps's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Gordon B Davis MD Dds Ps was last updated on May 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.