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Organization

SPRUCE DENTAL, LLC

Active
Other names
Spruce Dental
Organization subpart
No

Provider details

NPI number
Authorized official
EUGENE JOSEPH LECOMPTE DDS (OWNER)
(386) 295-3815
Entity
Organization

Contact information

Practice address
1763 TAYLOR RD STE 1, PORT ORANGE, FL 32128-6842
(386) 690-6705
Mailing address
2560 S PENINSULA DR, DAYTONA BEACH, FL 32118-5528
(386) 295-3815

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
07/23/2025
Last updated
08/12/2025
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