# APPLE SEEDS PEDIATRIC DENTISTRY OF FIVE FORKS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FDH HOLDINGS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467800714
- **Legal business name:** FDH HOLDINGS, LLC
- **Authorized official:** MRS. BETH LOUISE ILLSLEY (DIRECTOR OF INSURANCE)
- **Authorized official phone:** (864) 282-1935

## Contact information

- **Practice address:** 216 SCUFFLETOWN RD STE E, SIMPSONVILLE, SC 29681-7296
- **Practice address phone:** (864) 642-4400
- **Practice address fax:** (864) 282-1955
- **Mailing address:** 400 MEMORIAL DRIVE EXT STE 400, GREER, SC 29651-1850
- **Mailing address phone:** (864) 282-1935
- **Mailing address fax:** (864) 751-6387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2016
- **Last updated:** 01/09/2023