BRUCE P. MERCADO D.D.S., P.C. (NPI# 1568595973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568595973 |
| Entity Type | Organization |
| Organization Name | BRUCE P. MERCADO D.D.S., P.C. |
| Practice Address |
6445 Citation Dr Suite A Clarkston MI 48346-2996 |
| Practice Telephone | 2486255000 |
| Practice Fax Number | 2486258459 |
| Mailing Telephone | 2486255000 |
| Mailing Fax Number | 2486258459 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BRUCE PHILIP MERCADO (PRESIDENT) |
| Authorized Official Telephone | 2486255000 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901013545 | MI | Dental Providers |
| Street Address |
6445 CITATION DR SUITE A |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-2996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134191166 | Michael C. Zak | Optometrist | 6445 Citation Dr, Suite B, Clarkston, MI 48346-2996 | 2006-02-03 |
| 1346798436 | Candace Susan Learman | Speech-Language Pathologist | 6445 Citation Dr, Suite H, Clarkston, MI 48346-2996 | 2016-09-17 |
| 1396299822 | Peyton & Davenport Inc. | Clinic/Center | 6445 Citation Dr, Suite H, Clarkston, MI 48346-2996 | 2016-08-13 |
| 1447535539 | Michael C. Zak, O.d., Pllc | Optometrist | 6445 Citation Dr, Suite B, Clarkston, MI 48346-2996 | 2011-10-20 |
| 1962681742 | Robert James Opie | Dentist | 6445 Citation Dr, Suite A, Clarkston, MI 48346-2996 | 2007-10-30 |
| 1689783896 | Bruce Philip Mercado | Dentist | 6445 Citation Dr, Suite A, Clarkston, MI 48346-2996 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164950440 | Matthew Bryson Thomas | Dentist | 6080 Dixie Hwy Ste A, Clarkston, MI 48346-3493 | 2017-05-31 |
| 1366758633 | Thomas Joseph Rydzon | Dentist | 7024 Scenic Rdg, Clarkston, MI 48346-1345 | 2010-08-25 |
| 1790956530 | Thu D. Vu | Dentist | 3596 Hill Street, Clarkston, GA 30021 | 2008-03-20 |
| 1790953818 | Janet Binkowski | Dentist | 6100 Dixie Hwy Ste A, Clarkston, MI 48346-3496 | 2008-02-11 |
| 1548481849 | Brian Paul Davidson | Dentist | 5720 Clarkston Rd, Clarkston, MI 48348-3715 | 2007-05-02 |
| 1780740712 | Scott W Joslin | Dentist | 844 6th St, Clarkston, WA 99403-2013 | 2006-12-27 |
| 1366500118 | Clarkston Oaks Family Dentistry | Dentist | 6100 Dixie Hwy, #a, Clarkston, MI 48346-3496 | 2006-12-05 |
| 1922176528 | Raymond A Waller | Dentist | 1303 16th Ave, Clarkston, WA 99403-2956 | 2006-12-01 |
| 1700958006 | Robert Marc Kleiner | Dentist | 4122 E Ponce De Leon Ave, Suite #5, Clarkston, GA 30021-1838 | 2006-11-14 |
| 1548339575 | Best Care Dental Inc. | Dentist | 3700 Market St Ste A2, Clarkston, GA 30021-2652 | 2006-11-06 |
| Find all providers in CLARKSTON | ||||
Please comment or provide details below to improve the information on BRUCE P. MERCADO D.D.S., P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.