SOUTHERN OAK DENTAL, LLC (NPI# 1427510767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427510767 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OAK DENTAL, LLC |
| Other Organization Name | DENTAL HOME EB5 VII |
| Practice Address |
2127 E Main St Spartanburg SC 29307-1454 |
| Mailing Address |
4921 Centre Pointe Dr Ste 201 N Charleston SC 29418-6997 |
| Practice Telephone | 8642167390 |
| Mailing Telephone | 8434598780 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | MR. FRANK GONG (OWNER) |
| Authorized Official Telephone | 2063712940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Home EB5 VII | Former Legal Business Name - Organization |
| 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 |
| 1295204279 | Southern Oak Dental, LLC | Dentist | 4921 Centre Pointe Dr Ste 201, N Charleston, SC 29418-6997 | 2018-11-19 |
| 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 |
2127 E MAIN ST |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29307-1454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932566197 | Gamble Dentalsmart PC | Dentist | 2127 E Main St, Suite E, Spartanburg, SC 29307-1454 | 2016-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
| 1194247528 | Tawnia Lee Prince | Occupational Therapy Assistant | 110 Summit Knoll Drive, Spartanburg, SC 29307 | 2017-07-07 |
| 1730633553 | Laura K Taylor | Chiropractor | 1802 Drayton Road, Suite 309, Spartanburg, SC 29307 | 2016-08-10 |
| 1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
| 1316312010 | Joy Rogers | Speech-Language Pathologist | 175 Burdette St, Spartanburg, SC 29307 | 2015-12-07 |
| 1376923169 | Olivia Conrad | Speech-Language Pathologist | 220 Sloans Grove Rd, Spartanburg, SC 29307 | 2015-06-05 |
| 1457755118 | Optimal Radiology Partners of Virginia, Pllc | Radiology | 75 Skylyn Drive, Spartanburg, SC 29307 | 2014-10-09 |
| 1295033272 | Sean Quinn | Pharmacist | 790 East Main Street, Spartanburg, SC 29307 | 2011-03-01 |
| 1417250887 | James Edward Bradof | Internal Medicine | 212 Cypress Creek Drive, Spartanburg, SC 29307 | 2010-12-07 |
| 1528388030 | Tanya Tocharoen Tang | Internal Medicine | 126 Dillon Dr., Spartanburg, SC 29307 | 2010-06-07 |
| Find all providers in zip 29307 | ||||
| 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 |
|---|---|---|---|---|
| 1891312039 | Prince B Moses | Dentist | 631 N Church St, Spartanburg, SC 29303-3046 | 2020-07-04 |
| 1316563133 | Todd Garrett Woollen | Dentist | 272 Cedar Springs Rd, Spartanburg, SC 29302-4643 | 2020-06-17 |
| 1790207801 | Pine Street Dental LLC | Dentist | 364 S Pine St Ste A101, Spartanburg, SC 29302-2654 | 2017-07-10 |
| 1932566197 | Gamble Dentalsmart PC | Dentist | 2127 E Main St, Suite E, Spartanburg, SC 29307-1454 | 2016-01-19 |
| 1437524469 | Hillcrest Family and Cosmetic Dentistry, LLC | Dentist | 2088 E Main St, Suite A & B, Spartanburg, SC 29307-1425 | 2015-12-02 |
| 1942601174 | Carolina Dental Docs LLC General Dentistry for Kids | Dentist | 1460 John B White Sr Blvd, Ste 1-c, Spartanburg, SC 29306 | 2014-09-08 |
| 1770915530 | Steven Andrew Richards | Dentist | 270 Cedar Springs Rd, Spartanburg, SC 29302-4654 | 2013-08-05 |
| 1659609485 | Regenesis Organzation Community Health Center | Dentist | 550 S Church Street, Unit 2, Spartanburg, SC 29306-3306 | 2009-12-07 |
| 1396972618 | Paul Michael Gibas Jr. | Dentist | 1585 Skylyn Drive, Spartanburg, SC 29307 | 2009-06-12 |
| 1225285646 | Radiant Dentistry | Dentist | 1440 Fernwood Glendale Rd, Spartanburg, SC 29307-3079 | 2008-08-27 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29307 |
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.