SOUTHERN OAK DENTAL, LLC (NPI# 1295204279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295204279 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OAK DENTAL, LLC |
| Practice Address |
4921 Centre Pointe Dr Ste 201 N Charleston SC 29418-6997 |
| Practice Telephone | 8439091299 |
| Mailing Telephone | 8439091299 |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | MR. FRANK GONG (OWNER) |
| Authorized Official Telephone | 2063712516 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336761097 | Southern Oak Dental, LLC | Dentist | 1322 Broad St Unit 90, Sumter, SC 29150-1984 | 2020-05-15 |
| 1891326617 | Southern Oak Dental, LLC | Dentist | 1017 Highway 501, Myrtle Beach, SC 29577-3820 | 2020-01-30 |
| 1811459159 | Southern Oak Dental, LLC | Dentist | 101 Verdae Blvd Ste 201, Greenville, SC 29607-3832 | 2019-04-04 |
| 1427510767 | Southern Oak Dental, LLC | Dentist | 2127 E Main St, Spartanburg, SC 29307-1454 | 2019-04-04 |
| 1497225916 | Southern Oak Dental, LLC | Dentist | 2676 Church St Unit A, Conway, SC 29526-4471 | 2018-11-27 |
| 1518436591 | Southern Oak Dental, LLC | Dentist | 19 Towne Dr, Bluffton, SC 29910-4201 | 2018-11-19 |
| Street Address |
4921 CENTRE POINTE DR STE 201 |
| City | N CHARLESTON |
| State | SC |
| Zip Code | 29418-6997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710529235 | Safe Keeping Healthcare LLC | Home Health | 2850 Ashley Phoshate Rd Suite J, Charleston, SC 29418 | 2019-10-16 |
| 1487136180 | Aston J Rosenberg | Speech-Language Pathologist | 4362 Leslie St, North Charleston, SC 29418 | 2018-08-30 |
| 1285178996 | Aaron Brown | Counselor | 5060 Dorchester Road, Suite 200, North Charleston, SC 29418 | 2016-12-14 |
| 1003265828 | Health Edge Laser LLC | Chiropractor | 4965 Centre Pointe Dr. Suite 100, North Charleston, SC 29418 | 2016-06-13 |
| 1568866481 | Rickey Ciapha Dennis Sr. | Social Worker | 108 Knightsbridge Drive, North Charleston, SC 29418 | 2014-10-21 |
| 1780086330 | Stephanie Washington | Specialist | 5060 Drochester Rd, North Charleston, SC 29418 | 2014-09-25 |
| 1043631369 | Julian H. Campbell, Dmd PC | Dentist | 3188 W. Montague Ave, North Charleston, SC 29418 | 2014-01-05 |
| 1750660676 | Marie's Home Care | Home Health | 7610 Mcknight St., Apt.a, North Charleston, SC 29418 | 2011-08-09 |
| 1437437548 | Trident General Dentistry, Douglas S Rawls, Dm | Dentist | 6335 Dorchester Road, North Carleston, SC 29418 | 2011-07-25 |
| 1508165291 | Patrick Michael Looser | Internal Medicine | 4969 Centre Pointe Dr Ste 100, North Charleston, SC 29418 | 2011-03-21 |
| Find all providers in zip 29418 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558498048 | Cynthia L Garner | Dentist | 3025 W Montague Ave, N Charleston, SC 29418-5932 | 2007-02-28 |
| 1326186206 | Donald E Bellebaum | Dentist | 7455 Cross County Rd, Suite 5, N Charleston, SC 29418-8470 | 2007-02-02 |
| 1093870032 | Ron Manendu Banik | Dentist | 8720 Northpark Blvd, N Charleston, SC 29406-9220 | 2006-12-27 |
| 1619085305 | Fred J Welch | Dentist | 7535 Northside Dr, N Charleston, SC 29420-4211 | 2006-08-25 |
| 1841201308 | Stephen P Merrell | Dentist | 3188 W Montague Ave, N Charleston, SC 29418-5935 | 2006-08-10 |
| 1306132006 | Benjamin B Jeter | Dentist | 7535 Northside Dr, N Charleston, SC 29420-4211 | 2011-06-22 |
| 1376693572 | Ron Banik, D.m.d | Dentist | 8720 Northpark Blvd, N Charleston, SC 29406-9220 | 2007-01-11 |
| 1730261074 | Ralph Devon Parks Jr. | Dentist | 8626 Dorchester Rd, Suite 102, N Charleston, SC 29420-7328 | 2006-10-19 |
| 1700994415 | Thomas R Jeter | Dentist | 7535 Northside Dr, N Charleston, SC 29420-4211 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564046 | Leishman Dental | Dentist | 121 N Pine St, Batesburg Leesville, SC 29006-1974 | 2020-10-07 |
| 1265039754 | Ravi Bhupen Patel | Dentist | 1755 Central Park Rd, Unit 1107, Charleston, SC 29412-2846 | 2020-10-07 |
| 1447857289 | Rick & Pamela Dhillon Dmd - Sda LLC | Dentist | 3115a Brushy Creek Rd, Greer, SC 29650-0903 | 2020-10-05 |
| 1598372864 | Dental Professional of South Carolina, P.C. | Dentist | 1417 Folly Rd Ste 402, Charleston, SC 29412-9737 | 2020-09-30 |
| 1043827314 | Dental Professionals of South Carolina, P.C. | Dentist | 1767 Heckle Blvd Ste 102, Rock Hill, SC 29732-1878 | 2020-09-30 |
| 1497361307 | Cane Bay Family Dentistry - Goose Creek LLC | Dentist | 129 Plantation North Blvd, Unit D, Goosecreek, SC 29445-2944 | 2020-09-17 |
| 1851906028 | Carolina Park Family Dentistry LLC | Dentist | 3520 Park Avenue Blvd., Suite 100, Mount Pleasant, SC 29466-2946 | 2020-09-14 |
| 1952915027 | Vdp Okatie LLC | Dentist | 10 William Pope Drive, Suite #2, Okatie, SC 29909 | 2020-09-04 |
| 1881208296 | Amanda Ho Van Garrett | Dentist | 122 S Goose Creek Blvd Ste A, Goose Creek, SC 29445-3136 | 2020-09-02 |
| 1871107409 | Ashley Czechner | Dentist | 11990 Highway 17 Byp Ste 8, Murrells Inlet, SC 29576-9379 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | N CHARLESTON |
| Zip Code | 29418 |
Please comment or provide details below to improve the information on SOUTHERN OAK DENTAL, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.