Provider Demographics
NPI:1144252495
Name:MERCIER, ADRIEN WILLIAM JR (DDS)
Entity type:Individual
Prefix:DR
First Name:ADRIEN
Middle Name:WILLIAM
Last Name:MERCIER
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:643 DARTMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02748-2511
Mailing Address - Country:US
Mailing Address - Phone:508-994-5278
Mailing Address - Fax:508-763-3097
Practice Address - Street 1:643 DARTMOUTH ST
Practice Address - Street 2:
Practice Address - City:SOUTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02748-2511
Practice Address - Country:US
Practice Address - Phone:508-994-5278
Practice Address - Fax:508-763-3097
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA125381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice