Family Dental Health of Pelham LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4138 Issued in SC

Legal business name

FAMILY DENTAL HEALTH OF PELHAM LLC

Practice address

10 Pelham Rd
Greenville, SC 29615-2142

Phone

(864) 232-9452

Fax

(864) 439-1241

NPI assigned

Apr 20, 2010

Organization subpart

Yes

Parent organization

FDH HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Bobby Monre Safrit II, DMD

Title

President/Owner

Phone

(864) 282-1935

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Earl Roger Cherry Jr., DMD

  • Dentist
  • Greenville, SC
  • NPI 1801954367
  NPD (past)

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1275859969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 VILLA RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153010",
            "telephone_number": "864-282-1935",
            "fax_number": "864-282-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152142",
            "telephone_number": "864-232-9452",
            "fax_number": "864-439-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL HEALTH OF PELHAM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FDH HOLDINGS, LLC",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "SAFRIT",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "MONRE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "864-282-1935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Suzanne Reim Fanning, D.O.
• Farbac Medical Group
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• General Practice Dentistry in Greenville, SC
• Providers in Greenville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.