DR. JULIE MERCADO DMD
NPI 1649707712
Dentist - Dentist Anesthesiologist in Stony Brook, NY

Q: What is Julie Mercado's NPI number?

The NPI number for Julie Mercado is 1649707712. It was assigned to this individual provider in the NPPES registry on May 18, 2017.

Q: What is Julie Mercado's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

Q: When was this NPI record last updated?

The NPPES record for Julie Mercado was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 18, 2017

101 NICOLLS RD, STONY BROOK, NY 11794(631) 444-2975(631) 444-2907 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Sep 25, 2020, May 18, 2017 (3 updates tracked since 2017).

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About Dr. Julie Mercado Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JULIE MERCADO DMD (NPI 1649707712) is an individual dentist anesthesiologist in Stony Brook, New York, licensed in Texas (36670) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1649707712

Entity TypeIndividualFemale

Primary Taxonomy1223D0004X

Provider Legal NameDR. JULIE MERCADOCredential: DMD

Location Address101 NICOLLS RDStony Brook, NY 11794-0001

Mailing Address225 Redwood DrCoppell, TX 75019-5423 · (702) 885-9634

Phone(631) 444-2975

Fax(631) 444-2907

Sole ProprietorNo

Enumeration DateMay 18, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

NPPES CertifiedJuly 30, 2020

✔ NPI 1649707712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers

Taxonomy Code1223D0004X

License✔ Licensed in TX · 36670

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

101 NICOLLS RD, Stony Brook, NY 11794

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