Provider Demographics
NPI:1013083252
Name:DAVIS, GARLAND KEVIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARLAND
Middle Name:KEVIN
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 1:8730 CHERRY LN
Mailing Address - Street 2:STE. 6
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-6212
Mailing Address - Country:US
Mailing Address - Phone:301-490-2900
Mailing Address - Fax:301-490-2899
Practice Address - Street 1:8730 CHERRY LN
Practice Address - Street 2:STE. 6
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-6212
Practice Address - Country:US
Practice Address - Phone:301-490-2900
Practice Address - Fax:301-490-2899
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD078781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice