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

Mr. Stacy Lee Black, DDSPA

Individual provider General Practice Dentistry · NPI 1063423085

Mr. Stacy Lee Black, DDSPA is a General Practice Dentistry in Rusk, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006

Practice location Address checks out

132 Hatchett St
Rusk, TX 75785
Phone: (903) 683-5751
Fax: (903) 683-3455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 17132 (TX)

Record details

NPI number1063423085
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSPA
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

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