Doctor profile · Federal record
Dr. Derick Mayberry, DDS
Periodontist · Hurlburt Field, FL
- NPI 1003369422
- 10 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
113 Lielmanis Ave
Hurlburt Field, FL 325445613
(850) 881-2000 - Mailing address
-
4320 Commons Dr W Unit 5305
Destin, FL 325418660
Credentials & registration
- NPI registered
- August 2016 — 10 yrs on file
- Profile last updated
- September 1, 2020
- Specialty taxonomy
- 1223P0300X — NUCC code
- State license (1)
- Vermont #016.0123575
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1003369422. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$197
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zimvie INC. | 3 | $175.00 | |
| Dentsply Sirona INC | 1 | $22.00 |
By nature of payment
Frequently asked questions
What is Dr. Derick Mayberry's medical specialty?
Dr. Derick Mayberry practices Periodontist in Hurlburt Field, FL.
Where does Dr. Derick Mayberry practice?
Dr. Derick Mayberry practices at 113 Lielmanis Ave, Hurlburt Field, FL 325445613. Office phone: 8508812000.
What is Dr. Derick Mayberry's NPI?
Dr. Derick Mayberry's National Provider Identifier (NPI) is 1003369422, issued by NPPES.