Provider Demographics
NPI:1043359466
Name:DAVIS, JOHN STERLING (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:STERLING
Last Name:DAVIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 E OLDTOWN RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-3762
Mailing Address - Country:US
Mailing Address - Phone:301-724-4411
Mailing Address - Fax:301-724-1816
Practice Address - Street 1:735 E OLDTOWN RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-3762
Practice Address - Country:US
Practice Address - Phone:301-724-4411
Practice Address - Fax:301-724-1816
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD51921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice