Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013599927 Individual Practitioner Male Practitioner

Dr. Ryan Davis , DDS

Dentist - General Practice • Port Jefferson, NY

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Davis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Port Jefferson, NY. Official NPI practice address is registered at 602 MAIN ST.

Practice Location & Contact Primary Location

Practice Address

602 Main St

Port Jefferson, NY 117772203

Telephone 6314731511
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Port Jefferson, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
15 Specialists

Practicing in Port Jefferson, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 062410

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1386768380

Doctor of Dental Surgery

NPI 1568669117

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location November 06, 2025

Registered at 602 MAIN ST, PORT JEFFERSON, NY 117772203 (Tel: 6314731511)

📍
Updated Business Mailing Address November 06, 2025

Registered at 602 MAIN ST, PORT JEFFERSON, NY 117772203 (Tel: 6314731511)

👤
Provider Name / Credentials Updated November 06, 2025

Recorded as RYAN DAVIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2025

Dentist (License #062410 in NY)

NPI Profile Active April 21, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 21, 2021

Registered at 200 BELLE TERRE RD, PORT JEFFERSON, NY 117771928 (Tel: 6314746553)

📍
Updated Business Mailing Address April 21, 2021

Registered at 13 INGRID RD, SETAUKET, NY 117332217 (Tel: 5163002507)

👤
Provider Name / Credentials Updated April 21, 2021

Recorded as RYAN DAVIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 21, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013599927
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2021
Last Update: November 06, 2025
Sole Proprietor: No

Mailing Address

602 Main St

Port Jefferson, NY 117772203

Phone: 6314731511

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.