Justin Anthony Dacy in Boerne - Periodontics
Justin Anthony Dacy - NPI 1740360338
Justin Anthony Dacy is a Periodontics in Boerne, Texas. Justin Anthony Dacy practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Justin Anthony Dacy is 1740360338. The last update date is 2020-10-15.
Justin Anthony Dacy's current location address is 248 N Main St, Boerne, Texas. You can contact this provider via phone number 8308165102 and fax number 8303319535. The mailing address for Justin Anthony Dacy is 248 N Main St, Boerne, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Anthony Dacy |
|---|---|
| Address | 248 N Main St, Boerne, Texas |
| Phone Number | 8308165102 |
| Fax Number | 8303319535 |
| Sole Proprietor | N |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1740360338 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2020-10-15 |
Provider Mailing Address Detail
| Address | 248 N Main St |
|---|---|
| City | Boerne |
| State | Texas (TX) |
| Post Code | 780062036 |
| Phone Number | 8308165102 |
| Fax Number | 8303319535 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 21366 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identifier code assigned to Justin Anthony Dacy by the Centers for Medicare & Medicaid Services?
The Justin Anthony Dacy has been issued the NPI (National Provider Identifier) 1740360338 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Justin Anthony Dacy is physically located?
The Justin Anthony Dacy is physically situated at the following address: 248 N Main St, Boerne, TX, 780062036.
What is Justin Anthony Dacy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Justin Anthony Dacy is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740360338 to Justin Anthony Dacy?
The Centers for Medicare & Medicaid Services originally issued the 1740360338 to Justin Anthony Dacy on 2006-10-17.
As of what date was the information regarding Justin Anthony Dacy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Justin Anthony Dacy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-10-15.