Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871034702 Individual Practitioner Male Practitioner

Dr. John Taylor Matthew Davis , DMD

Dentist - Endodontics • Destin, FL

Professional Overview & Biography Verified Profile Summary

Dr. John Taylor Davis, DMD is a registered healthcare professional specializing in Dentist - Endodontics in Destin, FL. Practice services are available at 30 S SHORE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

30 S Shore Dr

Destin, FL 325505821

Telephone 2059945417

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Destin, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Destin, FL (536 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: 2026-06-12
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License AL 122300000X

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 12, 2026

Registered at 30 S SHORE DR, DESTIN, FL 325505821 (Tel: 2059945417)

📍
Updated Business Mailing Address June 12, 2026

Registered at 30 S SHORE DR, DESTIN, FL 325505821 (Tel: 2059945417)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2026

Dentist (License #122300000X in AL)

NPI Profile Active March 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 11, 2017

Registered at 1700 6TH AVE N, BESSEMER, AL 350204849 (Tel: 2054342031)

📍
Updated Business Mailing Address March 11, 2017

Registered at 1700 6TH AVE N, BESSEMER, AL 350204849 (Tel: 2054342031)

👤
Provider Name / Credentials Updated March 11, 2017

Recorded as JOHN TAYLOR DAVIS, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2017

Dentist (License #122300000X in AL)

🟢
Initial NPI Registration & Enumeration March 11, 2017

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: 1871034702
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2017
Last Update: June 12, 2026
Sole Proprietor: Yes

Mailing Address

30 S Shore Dr

Destin, FL 325505821

Phone: 2059945417

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.