# OAK LANDING PEDIATRIC DENTISTRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649825969
- **Authorized official:** DR. GABRIEL N ROSS DMD (OWNER/DENTIST)
- **Authorized official phone:** (843) 900-4490

## Contact information

- **Practice address:** 2001 2ND AVE STE 102, SUMMERVILLE, SC 29486-7887
- **Practice address phone:** (843) 900-4490
- **Practice address fax:** (843) 501-9450
- **Mailing address:** 3255 MOONLIGHT DR, CHARLESTON, SC 29414-8052
- **Mailing address phone:** (803) 537-9136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2019
- **Last updated:** 01/28/2022