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Organization

FAMILY DENTAL HEALTH GROUP LLC

Active
Parent organization
FDH HOLDINGS, LLC
Other names
Family Dental Health of Lake Carolina
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
5 LAKE CAROLINA WAY STE 210, COLUMBIA, SC 29229-7563
(803) 736-8606
Mailing address
400 MEMORIAL DRIVE EXT, 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
11/05/2025
Last updated
11/05/2025
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