Family Dental Health Group LLC
NPI #1518710672 in Moncks Corner, South Carolina
Provider Information
- NPI Number
- 1518710672
- Entity Type
- Organization
- Organization Name
- Family Dental Health Group LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FDH HOLDINGS
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 9, 2024
- Last Updated
- Apr 9, 2024
Practice Location
- Address
- 219 1ST ST
- City
- Moncks Corner
- State
- South Carolina
- ZIP Code
- 29461-3726
- Phone
- (843) 761-8142
Authorized Official
- Name
- BETH LOUISE ILLSLEY
- Title
- DIRECTOR OF INSURANCE
- Phone
- (864) 282-1935
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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