1. Home
  2. Directory
  3. South Carolina
  4. Greenville
  5. Dentist
  6. NPI Profile

FAMILY DENTAL HEALTH OF CREEKSIDE LLC
NPI 1790422137
Dentist - General Practice in Greenville, SC

Active since May 17, 2022
12 CLEVELAND CT, GREENVILLE, SC 29607(864) 242-0496(864) 250-0965 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2023, May 17, 2022 (2 updates tracked since 2022).

About Family Dental Health Of Creekside Llc NPPES

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

FAMILY DENTAL HEALTH OF CREEKSIDE LLC (NPI 1790422137) is a healthcare organization registered as a general practice in Greenville, South Carolina and active in the NPI registry since May 2022. The organization lists Beth Illsley, Director Of Insurance, as its authorized official.

NPPES Registry Identity

NPI1790422137
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAMILY DENTAL HEALTH OF CREEKSIDE LLC
Location Address12 CLEVELAND CTGreenville, SC 29607-2414
Mailing Address400 Memorial Drive Ext Ste 400Greer, SC 29651-1850 · (864) 282-1935 · Fax (864) 751-6387
Phone(864) 242-0496
Fax(864) 250-0965
Organization SubpartYesParent: Fdh Holdings
Authorized OfficialBeth IllsleyDirector Of Insurance · (864) 282-1935
Enumeration DateMay 17, 2022
Last NPPES UpdateJanuary 9, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
✔ NPI 1790422137 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.
12 CLEVELAND CT, Greenville, SC 29607
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 2

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

DR. W. CARTER BROWN D.M.D.
Dentist (General Practice)
12 CLEVELAND CT
GREENVILLE, SC 29607
Greenville County (864) 242-0496
DR. ELIZABETH R MULLIS D.M.D.
Dentist
12 CLEVELAND CT
GREENVILLE, SC 29607
Greenville County (864) 242-0496

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Dental Health Of Creekside LLC's NPI number?

The NPI number for Family Dental Health Of Creekside LLC is 1790422137. It was assigned to this organization in the NPPES registry on May 17, 2022.

Where is Family Dental Health Of Creekside LLC located?

Family Dental Health Of Creekside LLC is located at 12 Cleveland Ct, Greenville, SC 29607. The listed phone number is (864) 242-0496.

What is Family Dental Health Of Creekside LLC's specialty?

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

What insurance does Family Dental Health Of Creekside LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Family Dental Health Of Creekside LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Family Dental Health Of Creekside LLC was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.