Organization
FAMILY DENTAL HEALTH GROUP LLC
Active
Parent organization
FAMILY DENTAL HEALTH GROUP LLC
Other names
Family Dental Health of Sumter LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY DENTAL HEALTH GROUP LLC
Authorized official
MRS. BETH LOUISE ILLSLEY (DIRECTOR OF INSURANCE)
(864) 282-1935
Entity
Organization
Contact information
Practice address
1116 ALICE DR, SUMTER, SC 29150-1966
(803) 469-3919
Mailing address
400 MEMORIAL DRIVE EXT STE 400, GREER, SC 29651-1850
(864) 282-1935
(864) 751-6387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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