Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Stacy, DMD

Individual provider Dentist · NPI 1275200933

Justin Stacy, DMD is a Dentist in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2021.

Licensed in
NC
In the registry since
2021
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

9660 Falls Of Neuse Rd Unit 153
Raleigh, NC 27615
Phone: (919) 205-0520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 13386 (NC)

Record details

NPI number1275200933
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 30, 2021
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

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