Angel Oak Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ANGEL OAK DENTAL LLC

Practice address

103 Planters Dr
Darlington, SC 29532-4040

Phone

(843) 393-8401

Fax

(843) 395-9008

NPI assigned

Aug 27, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Zin Zou

Title

Owner

Phone

(843) 393-8401

Specialties & licenses 1

Addresses

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zachary Newton, DMD

  • General Practice Dentistry
  • Darlington, SC
  • NPI 1053044693

  General Practice

  NPD
• Clifton M Wilson

  • General Practice Dentistry
  • Darlington, SC
  • NPI 1831282375

  General Practice

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1053145607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PLANTERS DR",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295324040",
            "telephone_number": "843-393-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PLANTERS DR",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295324040",
            "telephone_number": "843-393-8401",
            "fax_number": "843-395-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL OAK DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "ZOU",
        "authorized_official_first_name": "ZIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-393-8401"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Askins Baker Perry
• Hubert C Baker, DDS
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• Valorie Kern Barrett, D.N.P., APRN, FNP-BC

• All providers in Darlington, SC
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.