Organization
CAROLINA FAMILY ORTHODONTICS OF BRUSHY CREEK, LLC
Active
Parent organization
FDH HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FDH HOLDINGS, LLC
Authorized official
MRS. BETH LOUISE ILLSLEY (DIRECTOR OF INSURANCE)
(864) 282-1935
Entity
Organization
Contact information
Practice address
1405 BRUSHY CREEK RD, BUIDING 2, SUITE A, TAYLORS, SC 29687-4008
(864) 214-3224
(864) 282-1955
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
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
01/09/2023
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