| Family Dental Health Group Llc | |
|
219 1st St Moncks Corner SC 29461-3726 | |
| (843) 761-8142 | |
| Not Available |
| Full Name | Family Dental Health Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 219 1st St, Moncks Corner, 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 |
|---|---|
| Family Dental Health Group Llc 400 Memorial Drive Ext Ste 400 Greer SC 29651-1850 Ph: (864) 282-1935 | Family Dental Health Group Llc 219 1st St Moncks Corner SC 29461-3726 Ph: (843) 761-8142 |
| NPI Number | 1518710672 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 04/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518710672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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