Spacey, Eugene
Spacey, Eugene is an sole proprietor health care provider with primary practice located at 3201 Maybank Hwy , Johns Island SC 29455-4817. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Spacey, Eugene can be contacted via phone (843) 559-3135.Contact Information
Primary practice address
3201 Maybank Hwy
Johns Island SC 29455-4817
Phone: (843) 559-3135
Fax: (843) 559-3137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2958 | South Carolina |
Profile Details
| NPI number | 1073769600 |
|---|---|
| LBN Legal business name | Spacey, Eugene |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2008 |
| Last updated | Aug 14th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073769600 | NPPES |
| South Carolina | MEDICAID | Z29586 |
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