Organization Active NPI

Safrit NC PLLC

Doing business as Family Dental Health of Maiden

  • General Practice Dentistry
  • Maiden, NC
National Provider Identifier
1073298592
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SAFRIT NC PLLC
Doing business as
Family Dental Health of Maiden
Practice address
401 Island Ford Rd
Maiden, NC 28650-8740
Phone
(828) 428-3737
NPI assigned
Jun 21, 2023
Last updated
Jun 21, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SAFRIT NC PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Mrs. Beth Illsley
Title
Director of Insurance
Phone
(864) 282-1935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

401 Island Ford Rd
Maiden, NC 28650-8740

Mailing address

400 Memorial Drive Ext Ste 400
Greer, SC 29651-1850
Phone (864) 282-1935

Other names 1

  • Family Dental Health of Maiden Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Safrit NC PLLC5 organizations share this tax ID, including this one
Part of
Safrit NC PLLC

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1073298592",
    "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": "401 ISLAND FORD RD",
            "city": "MAIDEN",
            "state": "NC",
            "postal_code": "286508740",
            "telephone_number": "828-428-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFRIT NC PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAFRIT NC PLLC",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "ILLSLEY",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "DIRECTOR OF INSURANCE",
        "authorized_official_telephone_number": "864-282-1935",
        "authorized_official_name_prefix": "Mrs."
    },
    "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 Maiden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maiden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.