Individual provider · Type 1 NPI

Derick Mayberry, DDS

Periodontics · Hurlburt Field, FL

NPI number 1003369422 Active

Practice location

113 Lielmanis Ave
Hurlburt Field, FL 32544-5613

Call (850) 881-2000 Map

Mailing address

4320 Commons Dr W Unit 5305
Destin, FL 32541-8660

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X016.0123575 (VT)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1003369422

Derick Mayberry, DDS's National Provider Identifier is 1003369422, issued on Aug 2, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Hurlburt Field, FL. The record was last updated on Sep 1, 2020.