OrganizationActive
Adirondack Periodontics PLLC
NPI 1689816274 · Dental Clinic/Center · Plattsburgh, NY
Provider details
- NPI number
- 1689816274
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gordon Davis, Owner(518) 563-0040
Specialties & taxonomies
Ambulatory Health Care Facilities
- Periodontics1223P0300X
Dental Providers
Practice location
4161 Route 22
Plattsburgh, NY 12901-5883
Phone: (518) 563-0040
Fax: (518) 562-0632
Approximate (ZIP-level) locationGet directions
Mailing address
4161 Route 22
Plattsburgh, NY 12901-5883
Registry dates
- Enumerated
- 2009-03-30
- Last updated
- 2024-04-29
- Certified
- 2024-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.