Spacey's Tooth Shoppe, INC
NPI #1295851236 in Johns Island, South Carolina
Provider Information
- NPI Number
- 1295851236
- Entity Type
- Organization
- Organization Name
- Spacey's Tooth Shoppe, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3201 MAYBANK HWY
- City
- Johns Island
- State
- South Carolina
- ZIP Code
- 29455-4817
- Phone
- (843) 559-3135
Authorized Official
- Name
- DR. EUGENE DENNIS SPACEY, DMD
- Title
- PRESIDENT
- Phone
- (843) 559-3135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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