Justin Anthony Dacy DDS Ms PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

21366 Issued in TX

Legal business name

JUSTIN ANTHONY DACY DDS MS PA

Practice address

6609 Blanco Rd
Suite 125
San Antonio, TX 78216-6152

Phone

(210) 341-1489

Fax

(210) 349-0618

NPI assigned

May 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tony Dacy, DDS MS

Title

President

Phone

(210) 341-1489

Specialties & licenses 1

Addresses

Other names 1

• Implant & Periodontal Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Michael Sehlke, D.D.S., M.S.

  • Periodontics
  • San Antonio, TX
  • NPI 1316129034
  NPD (past)
• Rebecca Stokes, LPC

  • Professional Counselor
  • Kerrville, TX
  • NPI 1497968499
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164623203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 BLANCO RD",
            "address_2": "SUITE 125",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166152",
            "telephone_number": "210-341-1489",
            "fax_number": "210-349-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 BLANCO RD",
            "address_2": "SUITE 125",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166152",
            "telephone_number": "210-341-1489",
            "fax_number": "210-349-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN ANTHONY DACY DDS MS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DACY",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-341-1489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "21366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Implant & Periodontal Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Just Vision Optical, LLC
• Jaydaline Nickolette Justice
• Robyn Justice, SLP
• Toni C. Justice
• Justiceworks TX, LLC
• Justin Olsen DDS PLLC.
• Stacey Ann Justus, LCDC
• Tammy Justus
• Ruth Jael Juul, PHARMD
• JW Anesthesia, PLLC

• Periodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.