MR. Stacy Lee Black, DDS PA

NPI #1063423085 in Rusk, Texas

Provider Information

NPI Number
1063423085
Entity Type
Individual
Name
MR. Stacy Lee Black, DDS PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS PA
Enumeration Date
Aug 11, 2006
Last Updated
May 28, 2025

Practice Location

Address
132 HATCHETT ST.
City
Rusk
State
Texas
ZIP Code
75785
Phone
(903) 683-5751

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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