SOUTHERN OAK DENTAL LLC NPI 1427510767

NPI Information

SOUTHERN OAK DENTAL, LLC is a general practice dentist in Spartanburg, SC. The provider is 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. SOUTHERN OAK DENTAL, LLC NPI is 1427510767. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Dental Home Eb5 Vii.

The provider's business location address is:

2127 E MAIN ST
SPARTANBURG, SC
ZIP 29307-454
Phone: (864) 216-7390

The provider's authorized official is Frank Gong .
The authorized official title is Owner and has the following contact phone number (206) 371-2940.

The enumeration date for this NPI number is 4/4/2019 and was last updated on 1/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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