# FREDERICK L BERCIER JR DDS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rick Bercier DDS PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598836421
- **Authorized official:** DR. FREDERICK L BERCIER DDS (PRESIDENT)
- **Authorized official phone:** (337) 478-3123

## Contact information

- **Practice address:** 715 W COLLEGE STREET, LAKE CHARLES, LA 70605
- **Practice address phone:** (337) 478-3123
- **Practice address fax:** (337) 478-3229
- **Mailing address:** 715 W COLLEGE STREET, LAKE CHARLES, LA 70605
- **Mailing address phone:** (337) 478-3123
- **Mailing address fax:** (337) 478-3229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3250 | LA | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 625436 | UNITED CONCORDIA | LA |
| 01 | — | G1161 | BLUE CROSS BLUE SHIELD | LA |