Apple Seeds Pediatric Dentistry of Five Forks, LLC
NPI #1467800714 in Simpsonville, South Carolina
Provider Information
- NPI Number
- 1467800714
- Entity Type
- Organization
- Organization Name
- Apple Seeds Pediatric Dentistry of Five Forks, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FDH HOLDINGS, LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- May 27, 2016
- Last Updated
- Jan 9, 2023
Practice Location
- Address
- 216 SCUFFLETOWN RD STE E
- City
- Simpsonville
- State
- South Carolina
- ZIP Code
- 29681-7296
- Phone
- (864) 642-4400
Authorized Official
- Name
- MRS. BETH LOUISE ILLSLEY
- Title
- DIRECTOR OF INSURANCE
- Phone
- (864) 282-1935
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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