Provider Demographics
NPI:1881761575
Name:GERLING, JOHN ANDERSON (DDS,MSD,PA)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ANDERSON
Last Name:GERLING
Suffix:
Gender:M
Credentials:DDS,MSD,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 N 10TH ST STE F2
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2781
Mailing Address - Country:US
Mailing Address - Phone:956-687-2004
Mailing Address - Fax:956-631-6614
Practice Address - Street 1:4900 N 10TH ST STE F2
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2781
Practice Address - Country:US
Practice Address - Phone:956-687-2004
Practice Address - Fax:956-631-6614
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX130841223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics