JUSTIN ANTHONY DACY DDS MS PA NPI 1164623203

NPI Information

JUSTIN ANTHONY DACY DDS MS PA is a periodontics dentist in San Antonio, TX. The provider is 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 structures and tissues. JUSTIN ANTHONY DACY DDS MS PA NPI is 1164623203. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Implant & Periodontal Dentistry.

The provider's business location address is:

6609 BLANCO RD
SUITE 125
SAN ANTONIO, TX
ZIP 78216-152
Phone: (210) 341-1489
Fax: (210) 349-0618

The provider's authorized official is Tony Dacy .
The authorized official title is President and has the following contact phone number (210) 341-1489.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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