Derick Mayberry, DDS

NPI #1003369422 in Hurlburt Field, Florida

Provider Information

NPI Number: 1003369422
Entity Type: Individual
Name: Derick Mayberry, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: DDS
Enumeration Date: Aug 2, 2016
Last Updated: Sep 1, 2020

Practice Location

Address: 113 LIELMANIS AVE
City: Hurlburt Field
State: Florida
ZIP Code: 32544-5613
Phone: (850) 881-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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