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Dr. Julie Mercado, DMD
Dentist Anesthesiologist in Stony Brook, New York
NPI 1649707712

Julie Mercado is a Dentist Anesthesiologist based in Coppell, NY and is specialized in Dentist Anesthesiologist. Julie Mercado practices in Stony Brook, NY and has the professional credentials of DMD. The NPI Number for Julie Mercado is 1649707712 and holds a License No. (New York).

The current practice location address for Julie Mercado is 101 Nicolls Rd, Stony Brook, NY and can be reached out via phone at 631-444-2975 and via fax at 631-444-2907.

Location: 101 Nicolls Rd, Stony Brook, NY, 75019-5423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649707712
Provider Name
Julie Mercado
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
101 Nicolls Rd, Stony Brook, NY, 75019-5423
Phone Number
631-444-2975
Fax Number
631-444-2907
Provider Enumeration Date
05/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-2975
Fax Number
631-444-2907
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-2975
Fax Number
631-444-2907
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
36670 (Texas)
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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