Provider Demographics
NPI:1013652882
Name:DUNCAN, MERCEDES ANTONIA (DMD)
Entity type:Individual
Prefix:DR
First Name:MERCEDES
Middle Name:ANTONIA
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6046 W HIGHWAY 74
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-3591
Mailing Address - Country:US
Mailing Address - Phone:704-893-8126
Mailing Address - Fax:704-893-8127
Practice Address - Street 1:6046 W HIGHWAY 74
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-3591
Practice Address - Country:US
Practice Address - Phone:704-893-8126
Practice Address - Fax:704-893-8127
Is Sole Proprietor?:No
Enumeration Date:2022-05-04
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13398122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist