Individual
DR. JOHN TAYLOR MATTHEW DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
30 S SHORE DR, DESTIN, FL 32550-5821
(205) 994-5417
Mailing address
30 S SHORE DR, DESTIN, FL 32550-5821
(205) 994-5417
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
122300000X
AL
1223E0200X
Endodontics
Primary
122300000X
AL
Other
Enumeration date
03/11/2017
Last updated
06/12/2026
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