| Spacey's Tooth Shoppe, Inc | |
|
3201 Maybank Hwy Johns Island SC 29455-4817 | |
| (843) 559-3135 | |
| Not Available |
| Full Name | Spacey's Tooth Shoppe, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3201 Maybank Hwy, Johns Island, South Carolina |
| Authorized Official Name and Position | Eugene Dennis Spacey (PRESIDENT) |
| Authorized Official Contact | 8435593135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spacey's Tooth Shoppe, Inc 3201 Maybank Hwy Johns Island SC 29455-4817 Ph: (843) 559-3135 | Spacey's Tooth Shoppe, Inc 3201 Maybank Hwy Johns Island SC 29455-4817 Ph: (843) 559-3135 |
| NPI Number | 1295851236 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295851236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | SC2958 (South Carolina) | Primary |
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