Organization
BAY BREEZE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCARLETT LAREE JOHNSON DMD (DENTIST OWNER)
(415) 235-8811
Entity
Organization
Contact information
Practice address
520A COURTHOUSE RD, GULFPORT, MS 39507-2503
(228) 896-6973
Mailing address
11546 BRIARSTONE PL, GULFPORT, MS 39503-6170
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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