Active NPI
Spruce Dental, LLC
Doing business as Spruce Dental
- Dental Clinic/Center
- Port Orange, FL
National Provider Identifier
1215819933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SPRUCE DENTAL, LLC
- Doing business as
- Spruce Dental
- Practice address
- 1763 Taylor Rd Ste 1
Port Orange, FL 32128-6842 - Phone
- (386) 690-6705
- NPI assigned
- Jul 23, 2025
- Last updated
- Aug 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eugene Joseph Lecompte, DDS
- Title
- Owner
- Phone
- (386) 295-3815
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1763 Taylor Rd Ste 1
Port Orange, FL 32128-6842
Mailing address
2560 S Peninsula Dr
Daytona Beach, FL 32118-5528
Phone (386) 295-3815
Other names 1
- Spruce Dental
National Provider Directory
National Provider DirectoryLocations
1763 Taylor Rd
Ste 1
Port Orange, FL 32128
Phone (386) 690-6705
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Port Orange, FL
- NPI 1760609804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754956800000",
"number": "1215819933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 S PENINSULA DR",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321185528",
"telephone_number": "386-295-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1763 TAYLOR RD STE 1",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321286842",
"telephone_number": "386-690-6705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRUCE DENTAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-23",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A",
"authorized_official_last_name": "LECOMPTE",
"authorized_official_first_name": "EUGENE",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-295-3815",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Spruce Dental",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Spruce Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.