MR. STACY BLACK, DDS PA
Dentist - General Practice
Active
Individual
NPI: 1063423085
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 17132 (TX) |
Frequently Asked Questions
NPI 1063423085 is the National Provider Identifier for MR. STACY BLACK, DDS PA, a Dentist - General Practice provider located in Rusk, TX. This NPI was enumerated on August 11, 2006.
MR. STACY BLACK, DDS PA practices at 132 HATCHETT ST., Rusk, TX 75785.
Quick Facts
- NPI
- 1063423085
- Type
- Individual
- Enumerated
- Aug 11, 2006
- Last Updated
- May 28, 2025
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