Organization
HAMMOCK BAY DENTAL GROUP LLC
Active
Other names
Hammock Bay Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL COLLIN MYRICK DDS (MANAGER)
(850) 428-0901
Entity
Organization
Contact information
Practice address
1848 GREAT HAMMOCK BEND, FREEPORT, FL 32439
(850) 892-0866
Mailing address
1484 GREAT HAMMOCK BEND, FREEPORT, FL 32439
(850) 892-0866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/13/2024
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