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NPI Profile for STACY L BLACK in RUSK, TX.
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X |
| NPI Number | 1063423085 |
|
| Status | Active | |
| Credentials | DDS PA | |
| Entity | Individual | |
| Enumeration date | 08/11/2006 | |
| Last updated | 05/28/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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STACY L BLACK
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STACY L BLACK, DDS PA