Organization
FREDERICK L BERCIER JR DDS
Active
Other names
Rick Bercier DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK L BERCIER DDS (PRESIDENT)
(337) 478-3123
Entity
Organization
Contact information
Practice address
715 W COLLEGE STREET, LAKE CHARLES, LA 70605
(337) 478-3123
(337) 478-3229
Mailing address
715 W COLLEGE STREET, LAKE CHARLES, LA 70605
(337) 478-3123
(337) 478-3229
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3250
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
625436
UNITED CONCORDIA
LA
01
—
G1161
BLUE CROSS BLUE SHIELD
LA
Enumeration date
11/13/2006
Last updated
08/22/2020
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