FAMILY DENTAL HEALTH OF GOLDEN CORNER LLC
NPI 1417523341
Dentist - General Practice in West Union, SC

Q: What is Family Dental Health Of Golden Corner LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since June 01, 2021

102 LUSK DR, WEST UNION, SC 29696(864) 638-7733(864) 718-7162 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2023, Jun 1, 2021 (2 updates tracked since 2021).

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About Family Dental Health Of Golden Corner Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY DENTAL HEALTH OF GOLDEN CORNER LLC (NPI 1417523341) is a healthcare organization registered as a general practice in West Union, South Carolina and active in the NPI registry since June 2021. The organization lists Beth Illsley, Director Of Insurance, as its authorized official.

NPPES Registry Identity

NPI1417523341

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameFAMILY DENTAL HEALTH OF GOLDEN CORNER LLC

Location Address102 LUSK DRWest Union, SC 29696-2629

Mailing Address400 Memorial Drive Ext Ste 400Greer, SC 29651-1850 · (864) 282-1935 · Fax (864) 751-6387

Phone(864) 638-7733

Fax(864) 718-7162

Organization SubpartYesParent: Fdh Holdings

Authorized OfficialBeth IllsleyDirector Of Insurance · (864) 282-1935

Enumeration DateJune 1, 2021

Last NPPES UpdateJanuary 9, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2023

✔ NPI 1417523341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

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.

102 LUSK DR, West Union, SC 29696

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH DAVID PARKER DMD

Dentist (General Practice)