Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gordon H Davis, DMD, DMSC

Individual provider Periodontics · NPI 1528096765

Dr. Gordon H Davis, DMD, DMSC is an Oral Surgery in Plattsburgh, New York. Graduated from Harvard Medical School in 1998, 28 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
28
Trained at
Harvard Medical School
Licensed in
NY
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

4161 Route 22
Plattsburgh, NY 12901-5883
Phone: (518) 563-0040
Fax: (518) 562-0632
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 047679-1 (NY)

Record details

NPI number1528096765
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , DMSC
Sole proprietorYes
NPI enumeratedJune 28, 2006
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024
Mailing address4161 Route 22, Plattsburgh, NY 12901-5883

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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