Justin Anthony Dacy Dds Ms Pa in San Antonio - Periodontics

Justin Anthony Dacy Dds Ms Pa - NPI 1164623203

Justin Anthony Dacy Dds Ms Pa is a Periodontics in San Antonio, Texas. Justin Anthony Dacy Dds Ms Pa practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Justin Anthony Dacy Dds Ms Pa is 1164623203. The last update date is 2020-08-22.

Justin Anthony Dacy Dds Ms Pa's current location address is 6609 Blanco Rd, San Antonio, Texas. You can contact this provider via phone number 2103411489 and fax number 2103490618. The mailing address for Justin Anthony Dacy Dds Ms Pa is 6609 Blanco Rd, San Antonio, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Justin Anthony Dacy Dds Ms Pa
Address 6609 Blanco Rd, San Antonio, Texas
Phone Number 2103411489
Fax Number 2103490618
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Dacy Tony
Credentials DDS MS
Telephone Number 2103411489

NPI Number Detail

NPI Number 1164623203
Provider Enumeration Date 2007-05-29
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 6609 Blanco Rd
City San Antonio
State Texas (TX)
Post Code 782166152
Phone Number 2103411489
Fax Number 2103490618

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 21366
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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FAQs about Justin Anthony Dacy Dds Ms Pa

What is the unique identifier code issued to Justin Anthony Dacy Dds Ms Pa by the Centers for Medicare & Medicaid Services (CMS)?

The Justin Anthony Dacy Dds Ms Pa has been assigned the NPI (National Provider Identifier) 1164623203. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Justin Anthony Dacy Dds Ms Pa is physically located?

The Justin Anthony Dacy Dds Ms Pa is situated at the following address: 6609 Blanco Rd, San Antonio, TX 782166152.

What is the area of specialization for Justin Anthony Dacy Dds Ms Pa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Justin Anthony Dacy Dds Ms Pa is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1164623203 to Justin Anthony Dacy Dds Ms Pa?

The Centers for Medicare & Medicaid Services assigned the 1164623203 to Justin Anthony Dacy Dds Ms Pa on 2007-05-29.

As of what date were the Justin Anthony Dacy Dds Ms Pa's details last updated?

The information pertaining to the Justin Anthony Dacy Dds Ms Pa, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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