Dr Justin Anthony Dacy, DDS, MS | |
248 N Main St, #1, Boerne, TX 78006-2036 | |
(830) 816-5102 | |
(830) 331-9535 |
Full Name | Dr Justin Anthony Dacy |
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Gender | Male |
Speciality | Dentist - Periodontics |
Location | 248 N Main St, Boerne, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740360338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 21366 (Texas) | Primary |
Entity Name | Justin Anthony Dacy Dds Ms Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164623203 PECOS PAC ID: 5799196648 Enrollment ID: O20201124002707 |
Mailing Address | Practice Location Address |
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Dr Justin Anthony Dacy, DDS, MS 248 N Main St, #1, Boerne, TX 78006-2036 Ph: (830) 816-5102 | Dr Justin Anthony Dacy, DDS, MS 248 N Main St, #1, Boerne, TX 78006-2036 Ph: (830) 816-5102 |
Dr. David Joel Gomillion, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 32350 Ih 10 W, Boerne, TX 78006 Phone: 830-249-2045 Fax: 830-249-6076 | |
Barry F Gooden, DDS PA Dentist Medicare: Not Enrolled in Medicare Practice Location: 122 Medical Dr, Boerne, TX 78006 Phone: 830-249-8559 Fax: 830-249-2340 | |
Dr. Mitchell W Ponsford, DMD Dentist Medicare: Medicare Enrolled Practice Location: 248 N Main St Ste 1, Boerne, TX 78006 Phone: 830-816-5102 | |
Weston Alan Manuel, Dentist Medicare: Not Enrolled in Medicare Practice Location: 430 W Bandera Rd Ste 4b, Boerne, TX 78006 Phone: 830-428-3698 | |
Dr. David Edgar Deas, DMD, MS Dentist Medicare: Medicare Enrolled Practice Location: 248 N Main St, Boerne, TX 78006 Phone: 830-816-5102 | |
Dr. Keyur Bhagat, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 27650 Interstate 10 W Ste 203, Boerne, TX 78006 Phone: 210-577-0516 | |
Dr. Brent J. Callegari, DENTIST Dentist Medicare: Not Enrolled in Medicare Practice Location: 9627 Boerne Spg, Boerne, TX 78006 Phone: 210-268-9863 |