Safrit PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SAFRIT PLLC

Doing business as

Family Dental Health of Davie Avenue

Practice address

1706 Davie Ave Ste B
Statesville, NC 28677-3589

Phone

(704) 873-1968

NPI assigned

Jul 21, 2026

Last updated

Jul 21, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Beth Louise Illsley, N/A

Title

Insurance Director

Phone

(864) 282-1935

Specialties & licenses 1

Addresses

Other names 1

• Family Dental Health of Davie Avenue Doing business as

Tax ID family

Safrit PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Safrit PLLC

  dba Family Dental Health of Concord Lake

  • General Practice Dentistry
  • Kannapolis, NC
  • NPI 1205758364
  NPD tax ID
• Safrit PLLC

  dba Family Dental Health of Kannapolis

  • General Practice Dentistry
  • Kannapolis, NC
  • NPI 1285516526
  NPD tax ID
• Safrit PLLC

  dba Family Dental Health of Harrisburg

  • General Practice Dentistry
  • Harrisburg, NC
  • NPI 1578453577
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1063332740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MEMORIAL DRIVE EXT STE 400",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511850",
            "telephone_number": "864-282-1935",
            "fax_number": "864-751-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 DAVIE AVE STE B",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773589",
            "telephone_number": "704-873-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFRIT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "ILLSLEY",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "INSURANCE DIRECTOR",
        "authorized_official_telephone_number": "864-282-1935",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Health of Davie Avenue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colleen E Russo, M.S., P.T.
• Samantha Loren Ryan, MSW, LCSWA, LCASA
• Rachel Peck Sabo, MD
• Samuel Harrison Sackenheim, FNP
• Safrit NC PLLC (Family Dental Health of Statesville)
• Pamela Sailors, RN
• Dana Troutman Sain, FNP-BC
• Robert Ira Saltzman, MD
• Tracie Jean Salyer, CNM
• Samaritan Healthcare, Inc

• General Practice Dentistry in Statesville, NC
• Providers in Statesville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.