SOUTHERN OAK DENTAL, LLC
NPI 1295204279
Dentist - General Practice in N Charleston, SC

Active since November 19, 2018
4921 CENTRE POINTE DR STE 201, N CHARLESTON, SC 29418(843) 909-1299 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 30, 2020, Nov 19, 2018 (2 updates tracked since 2018).

About Southern Oak Dental, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN OAK DENTAL, LLC (NPI 1295204279) is a healthcare organization registered as a general practice in N Charleston, South Carolina and active in the NPI registry since November 2018. The organization lists Frank Gong, Owner, as its authorized official.

NPPES Registry Identity

NPI1295204279
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHERN OAK DENTAL, LLC
Location Address4921 CENTRE POINTE DR STE 201N Charleston, SC 29418-6997
Mailing Address4921 Centre Pointe Dr Ste 201N Charleston, SC 29418-6997 · (843) 909-1299
Organization SubpartNo
Authorized OfficialFrank GongOwner · (206) 371-2516
Enumeration DateNovember 19, 2018
Last NPPES UpdateJanuary 30, 20202 updates tracked since enumeration
NPI 1295204279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
4921 CENTRE POINTE DR STE 201, N Charleston, SC 29418

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
4921 CENTRE POINTE DR STE 201
NORTH CHARLESTON, SC 29418

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Oak Dental, LLC's NPI number?

The NPI number for Southern Oak Dental, LLC is 1295204279. It was assigned to this organization in the NPPES registry on November 19, 2018.

Where is Southern Oak Dental, LLC located?

Southern Oak Dental, LLC is located at 4921 Centre Pointe Dr Ste 201, N Charleston, SC 29418. The listed phone number is (843) 909-1299.

What is Southern Oak Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Southern Oak Dental, LLC was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.