Sage Dental Group Of Georgia, LLC
Dentist in Atlanta, GA. Organization (NPI-2).
NPI number1164099230
StatusActive
Last updated in NPPESJun 11, 2021
Details
- NPI
- 1164099230
- Entity type
- Organization (NPI-2)
- Legal business name
- Sage Dental Group Of Georgia, LLC
- Organization subpart
- No
- Enumeration date
- Jun 8, 2021
- Certification date
- Jun 11, 2021
- Last updated
- Jun 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
2171 Lavista Rd NeAtlanta, GA 30329-3915
Phone 561-999-9650
Mailing address
951 Broken Sound Pkwy Nw Ste 250Boca Raton, FL 33487-3506
Phone 561-999-9650
Authorized official
Cindy Roark
Chief Clinical Officer
5619999650
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