Organization · Type 2 NPI

Family Dental Health Group LLC

General Practice Dentistry · Mount Pleasant, SC

NPI number 1104778869 Active

Practice location

2138 Highway 41
Mount Pleasant, SC 29466-6201

Call (843) 972-5587 Map

Mailing address

400 Memorial Drive Ext Ste 400
Greer, SC 29651-1850

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3 other providers at this address

Other general practice dentistry providers in Mount Pleasant

See all in Mount Pleasant →

NPI record

NPI: 1104778869
Entity type: Organization (Type 2)
Issued: Feb 13, 2026
Last updated: Feb 13, 2026
Status: Active
Subpart: Yes of FDH Holdings, LLC

Other names

Family Dental Health of Park West · doing business as

Authorized official

Mrs. Beth Louise Illsley, N/A
Director of Insurance
(864) 282-1935

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1104778869

Family Dental Health Group LLC's National Provider Identifier is 1104778869, issued on Feb 13, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mount Pleasant, SC. The record was last updated on Feb 13, 2026.