HAMMOCK BAY DENTAL GROUP LLC NPI 1578393708

NPI Information

  • NPI: 1578393708
  • Provider Name: HAMMOCK BAY DENTAL GROUP LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: HAMMOCK BAY DENTAL
  • Address: 1848 GREAT HAMMOCK BEND
    FREEPORT, FL
    ZIP 32439
  • Phone: (850) 892-0866

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NPI Details

HAMMOCK BAY DENTAL GROUP LLC is a general practice dentist in Freeport, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. HAMMOCK BAY DENTAL GROUP LLC NPI is 1578393708. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hammock Bay Dental.

The provider's business location address is:

1848 GREAT HAMMOCK BEND
FREEPORT, FL
ZIP 32439
Phone: (850) 892-0866

The provider's authorized official is Marshall Collin Myrick .
The authorized official title is Manager and has the following contact phone number (850) 428-0901.

The enumeration date for this NPI number is 8/2/2024 and was last updated on 8/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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