Southern Oak Dental, LLC
Organization Active NPI General Practice Dentistry · Bluffton, SC
NPI 1518436591 · NPPES record last updated Jan 30, 2020
Key facts
- NPI
- 1518436591
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- SOUTHERN OAK DENTAL, LLC
- Practice address
- 19 Towne Dr
Bluffton, SC 29910-4201 - Phone
- (843) 707-1116
- NPI assigned
- Nov 19, 2018
- Organization subpart
- No
Authorized official
- Name
- Mr. Frank Gong
- Title
- Owner
- Phone
- (206) 371-2516
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Southern Oak Dental LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
19 Towne Dr
Bluffton, SC 29910-4201
Mailing address
4921 Centre Pointe Dr Ste 201
N Charleston, SC 29418-6997
Phone (843) 909-1299
Other providers in Bluffton, SC
- Southern Foot & Ankle Center PC
- Southern MRI
- Southern MRI LLC
- Southern Neurology, PA
- Southern Oak Dental Bluffton, LLC
- Southern Sky Recovery
- Deiyonna Shandrika Speaks
- Andrew Spencer
- Lorrie G. Spencer
- Sophie Spicketts
All providers in Bluffton, SC · General Practice Dentistry in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.