DR. GORDON BRUCE DAVIS M.D., D.D.S.
NPI 1477641041
Dentist - Oral and Maxillofacial Surgery in Everett, WA

Q: What is Gordon Davis's NPI number?

The NPI number for Gordon Davis is 1477641041. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Q: What is Gordon Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gordon Davis 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.

Active since October 10, 2006

1111 PACIFIC AVE, STE 1, EVERETT, WA 98201(425) 348-1382(425) 903-4402 Get Directions Write a Review

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

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About Dr. Gordon Bruce Davis M.d., D.d.s. NPPES

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

DR. GORDON BRUCE DAVIS M.D., D.D.S. (NPI 1477641041) is an individual oral and maxillofacial surgery provider in Everett, Washington, licensed in Washington (4915) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1477641041

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. GORDON BRUCE DAVISCredential: M.D., D.D.S.

Location Address1111 PACIFIC AVE, STE 1Everett, WA 98201-4200

Mailing Address9810 Marine View DrMukilteo, WA 98275-4110 · (425) 348-1382 · Fax (425) 903-4402

Phone(425) 348-1382

Fax(425) 903-4402

Sole ProprietorYes

Enumeration DateOctober 10, 2006

Last NPPES UpdateMay 5, 2016

✔ NPI 1477641041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in WA · 4915

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 6

Other21701CA · Dental License Number

Medicare UPINA09087WA

Medicare PING001200184WA

Other14666WA · Md License Number

Other5161WA · Washington Dental Service

OtherDE00004915WA · Dental License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

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.

GORDON B DAVIS MD DDS PS

Dentist (Oral and Maxillofacial Surgery)

1111 PACIFIC AVE, SUITE A
EVERETT, WA 98201

Snohomish County (425) 258-9586

CHIA-JEN KUAN M.D., PHD

Internal Medicine (Nephrology)

1111 PACIFIC AVE, SUITE B
EVERETT, WA 98201

Snohomish County (425) 257-1100

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 Davis's NPI number?

The NPI number for Gordon Davis is 1477641041. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Gordon Davis located?

Gordon Davis practices at 1111 Pacific Ave Ste 1, Everett, WA 98201. The listed phone number is (425) 348-1382.

What is Gordon Davis's specialty?

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

What insurance does Gordon Davis accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Gordon Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gordon Davis 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.