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Derick Mayberry, DDS
Periodontist in Hurlburt Field, Florida
NPI 1003369422

Derick Mayberry is a Periodontist based in Destin, FL and is specialized in Periodontics. Derick Mayberry practices in Hurlburt Field, FL and has the professional credentials of DDS. The NPI Number for Derick Mayberry is 1003369422 and holds a License No. 016.0123575 (Florida).

The current practice location address for Derick Mayberry is 113 Lielmanis Ave, Hurlburt Field, FL and can be reached out via phone at 850-881-2000.

Location: 113 Lielmanis Ave, Hurlburt Field, FL, 32541-8660
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003369422
Provider Name
Derick Mayberry
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
113 Lielmanis Ave, Hurlburt Field, FL, 32541-8660
Phone Number
850-881-2000
Fax Number
Provider Enumeration Date
08/02/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
113 Lielmanis Ave
City
Hurlburt Field
State
Florida
Zip
32544-5613
Phone Number
850-881-2000
Fax Number
person
Provider Business Mailing Address Details
Address
113 Lielmanis Ave
City
Hurlburt Field
State
Florida
Zip
32544-5613
Phone Number
850-881-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
016.0123575 (Vermont)
Definition
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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