Organization
SOUTH CAROLINA DENTAL SLEEP CENTER, LLC
Active
Parent organization
FDH HOLDINGS
Other names
SC Dental Sleep Center, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FDH HOLDINGS
Authorized official
BETH LOUISE ILLSLEY (DIRECTOR OF INSURANCE)
(864) 282-1935
Entity
Organization
Contact information
Practice address
15 GARLINGTON RD STE 200, GREENVILLE, SC 29615-4629
(864) 207-7141
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
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
04/11/2024
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