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

SOUTHERN OAK DENTAL, LLC
NPI 1497225916
Dentist - General Practice in Conway, SC

Active since November 27, 2018
2676 CHURCH ST UNIT A, CONWAY, SC 29526(843) 331-3237 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 30, 2020, Nov 27, 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 1497225916) is a healthcare organization registered as a general practice in Conway, South Carolina and active in the NPI registry since November 2018. The organization lists Frank Gong, Owner, as its authorized official.

NPPES Registry Identity

NPI1497225916
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHERN OAK DENTAL, LLC
Location Address2676 CHURCH ST UNIT AConway, SC 29526-4471
Mailing Address4921 Centre Pointe Dr Ste 201N Charleston, SC 29418-6997 · (843) 909-1299
Phone(843) 331-3237
Organization SubpartNo
Authorized OfficialFrank GongOwner · (206) 371-2516
Enumeration DateNovember 27, 2018
Last NPPES UpdateJanuary 30, 20202 updates tracked since enumeration
✔ NPI 1497225916 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.
2676 CHURCH ST UNIT A, Conway, SC 29526
Open in Google Maps ↗

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.

SOUTHERN OAK DENTAL CONWAY, LLC
Clinic/Center (Dental)
2676 CHURCH ST UNIT A
CONWAY, SC 29526
Horry County (843) 733-3387

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 1497225916. It was assigned to this organization in the NPPES registry on November 27, 2018.

Where is Southern Oak Dental, LLC located?

Southern Oak Dental, LLC is located at 2676 Church St Unit A, Conway, SC 29526. The listed phone number is (843) 331-3237.

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 with the weekly NPPES data releases published by CMS.