Family Dental Health of Moore LLC
NPI #1659047801 in Moore, South Carolina
Provider Information
- NPI Number
- 1659047801
- Entity Type
- Organization
- Organization Name
- Family Dental Health of Moore LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FDH HOLDINGS LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 18, 2021
- Last Updated
- Jan 9, 2023
Practice Location
- Address
- 4044 MOORE DUNCAN HWY
- City
- Moore
- State
- South Carolina
- ZIP Code
- 29369-9774
- Phone
- (864) 203-8540
Authorized Official
- Name
- MRS. BETH ILLSLEY
- Title
- DIRECTOR OF INSURANCE
- Phone
- (864) 282-1935
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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