Organization
FAMILY DENTAL HEALTH GROUP LLC
Active
Parent organization
FDH HOLDINGS
Other names
Family Dental Health of West Ashley
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
1483 TOBIAS GADSON BLVD STE 105, CHARLESTON, SC 29407-4795
(843) 556-3838
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
01/08/2024
Last updated
01/08/2024
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