1. Home
  2. Directory
  3. South Carolina
  4. Sumter
  5. Dentist
  6. NPI Profile

SOUTHERN OAK DENTAL, LLC
NPI 1336761097
Dentist - General Practice in Sumter, SC

Active since May 15, 2020
1322 BROAD ST UNIT 90, SUMTER, SC 29150(912) 856-9698 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Oak Dental, Llc NPPES

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

SOUTHERN OAK DENTAL, LLC (NPI 1336761097) is a healthcare organization registered as a general practice in Sumter, South Carolina and active in the NPI registry since May 2020. The organization lists Frank Gong, Owner, as its authorized official.

NPPES Registry Identity

NPI1336761097
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHERN OAK DENTAL, LLC
Location Address1322 BROAD ST UNIT 90Sumter, SC 29150-1984
Mailing Address4921 Centre Pointe Dr Ste 201North Charleston, SC 29418-6997 · (912) 856-9698 · Fax (843) 781-7403
Phone(912) 856-9698
Organization SubpartNo
Authorized OfficialFrank GongOwner · (206) 371-2516
Enumeration DateMay 15, 2020
NPPES CertifiedMay 15, 2020
✔ NPI 1336761097 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.
1322 BROAD ST UNIT 90, Sumter, SC 29150
Open in Google Maps ↗

Other Names 1

Other NameDental Home Eb5 Vii

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

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 1336761097. It was assigned to this organization in the NPPES registry on May 15, 2020. The provider is also known as Dental Home EB5 VII.

Where is Southern Oak Dental, LLC located?

Southern Oak Dental, LLC is located at 1322 Broad St Unit 90, Sumter, SC 29150. The listed phone number is (912) 856-9698.

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 May 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.