Family Dental Health Group Llc | |
1483 Tobias Gadson Blvd Ste 105 Charleston SC 29407-4795 | |
(843) 556-3838 | |
Not Available |
Full Name | Family Dental Health Group Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 1483 Tobias Gadson Blvd Ste 105, Charleston, South Carolina |
Authorized Official Name and Position | Beth Louise Illsley (DIRECTOR OF INSURANCE) |
Authorized Official Contact | 8642821935 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Dental Health Group Llc 400 Memorial Drive Ext Ste 400 Greer SC 29651-1850 Ph: (864) 282-1935 | Family Dental Health Group Llc 1483 Tobias Gadson Blvd Ste 105 Charleston SC 29407-4795 Ph: (843) 556-3838 |
NPI Number | 1609646793 |
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Provider Enumeration Date | 01/08/2024 |
Last Update Date | 01/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609646793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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