Organization Active NPI

Spruce Dental, LLC

Doing business as Spruce Dental

  • Dental Clinic/Center
  • Port Orange, FL
National Provider Identifier
1215819933
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.