Mercer Dental Associates

Primary specialty

DentistTaxonomy code 122300000X

License

G1-0001155 Issued in DE

Legal business name

MERCER DENTAL ASSOCIATES

Doing business as

Mercer and Sydell Dental

Practice address

524 Union St
Milton, DE 19968-1016

Phone

(302) 678-2942

Fax

(302) 678-2294

NPI assigned

Feb 22, 2012

Last updated

Dec 13, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sean Micheal MercerNPI 1609940980

Title

Authorized Official/Owner

Phone

(302) 678-2942

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Mercer and Sydell Dental Doing business as

Tax ID family

Mercer and Sydell Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mercer Dental Associates

  dba Mercer and Sydell Dental

  • Dentist
  • Dover, DE
  • NPI 1427105915
  NPD tax ID

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sean Micheal Mercer, D.D.S.

  • Dentist
  • Dover, DE
  • NPI 1609940980
  NPD Authorized official
• Mark A Charvat, DDS

  • Dentist
  • Dover, DE
  • NPI 1467032565
  NPD (past)
• Elizabeth Ann Dennis

  • General Practice Dentistry
  • Dover, DE
  • NPI 1508551102
  NPD (past)
• Thomas Andrew Mercer, D.M.D.

  • Dentist
  • Dover, DE
  • NPI 1932273216
  NPD (past)
• Thomas Warren Mercer, D.M.D.

  • Dentist
  • Dover, DE
  • NPI 1073687257
  NPD (past)
• Chloe Walsh Philip, DDS

  • General Practice Dentistry
  • Dover, DE
  • NPI 1932894425
  NPD (past)
• Bradley Rogge, DDS

  • General Practice Dentistry
  • Dover, DE
  • NPI 1134726896
  NPD (past)
• Adam Craig Sydell, D.M.D

  • Dentist
  • Dover, DE
  • NPI 1841467586
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1801169768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SAULSBURY RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 UNION ST",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199681016",
            "telephone_number": "302-678-2942",
            "fax_number": "302-678-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "MICHEAL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
        "authorized_official_telephone_number": "302-678-2942"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G1-0001155",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G1-0001116",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G1-0001281",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932273216",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609940980",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841467586",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercer and Sydell Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John J Ludwicki, MD
• Rebecca Lyons, PTA
• Carrie Magathan
• Assem Mamayeva, M.D.
• Alaina Marinella
• Suzanne Messina, LPCMH
• Diamond Michelle Micielli, FNP
• James Miller
• Millsboro Eye Care LLC (Delaware Eye Clinics)
• Scott Milstein, D.O.

• Dentist in Milton, DE
• Providers in Milton, DE by specialty
• Dentist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.