Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STACY LEE BLACK, DDS PA
ActiveMR. STACY LEE BLACK, DDS PA is a General Dentistry healthcare provider located in RUSK, Texas. NPI 1063423085 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · RUSK, TX
Registration Details
- NPI Number
- 1063423085
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2006 (20.019691322742 yrs)
- Last Updated
- May 28, 2025
- License
-
17132 (TX)
Practice Information
- Address
-
132 HATCHETT ST.RUSK, TX, 75785Browse TX providers · Browse ZIP 75785
- Phone
- 9036835751
- Fax
- 9036833455
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in RUSK, TX
| Name | Credential | NPI |
|---|---|---|
| DR. GERALD R OCKER | D.D.S. | 1518040757 |
| LOUIS KAVETSKI | DDS | 1053531673 |
| JAMES BLAINE MANKER | DDS | 1962794008 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.