# FAMILY DENTAL HEALTH GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FDH HOLDINGS LLC
- **Other names:** Family Dental Health of Lexington High
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578380044
- **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:** 2351 AUGUSTA HWY, LEXINGTON, SC 29072-2213
- **Practice address phone:** (803) 830-3177
- **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 |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/25/2024
- **Last updated:** 09/25/2024