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

SOUTHERN OAK DENTAL, LLC
NPI 1811459159
Dentist - General Practice in Greenville, SC

Active since April 04, 2019
101 VERDAE BLVD STE 201, GREENVILLE, SC 29607(864) 587-7155 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, Apr 4, 2019 (2 updates tracked since 2019).

About Southern Oak Dental, Llc NPPES

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

SOUTHERN OAK DENTAL, LLC (NPI 1811459159) is a healthcare organization registered as a general practice in Greenville, South Carolina and active in the NPI registry since April 2019. The organization lists Frank Gong, Owner, as its authorized official.

NPPES Registry Identity

NPI1811459159
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHERN OAK DENTAL, LLC
Location Address101 VERDAE BLVD STE 201Greenville, SC 29607-3832
Mailing Address4921 Centre Pointe Dr Ste 201N Charleston, SC 29418-6997 · (843) 459-8780
Phone(864) 587-7155
Organization SubpartNo
Authorized OfficialFrank GongOwner · (206) 371-2940
Enumeration DateApril 4, 2019
Last NPPES UpdateJanuary 30, 20202 updates tracked since enumeration
✔ NPI 1811459159 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.
101 VERDAE BLVD STE 201, Greenville, SC 29607
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

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 1811459159. It was assigned to this organization in the NPPES registry on April 4, 2019.

Where is Southern Oak Dental, LLC located?

Southern Oak Dental, LLC is located at 101 Verdae Blvd Ste 201, Greenville, SC 29607. The listed phone number is (864) 587-7155.

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.