Organization · Type 2 NPI
Spruce Dental, LLC
Dental Clinic/Center · Port Orange, FL
NPI number
1215819933
Active
Practice location
1763 Taylor Rd Ste 1
Port Orange, FL 32128-6842
Mailing address
2560 S Peninsula Dr
Daytona Beach, FL 32118-5528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1215819933
Spruce Dental, LLC's National Provider Identifier is 1215819933, issued on Jul 23, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Port Orange, FL. The record was last updated on Aug 12, 2025.