Sage Dental Of Alafaya 2 PLLC

Dentist in Orlando, FL. Organization (NPI-2).

NPI number1265211544

StatusActive

Last updated in NPPESSep 26, 2023

Details

NPI: 1265211544
Entity type: Organization (NPI-2)
Legal business name: Sage Dental Of Alafaya 2 PLLC
Organization subpart: No
Enumeration date: Sep 26, 2023
Certification date: Sep 26, 2023
Last updated: Sep 26, 2023

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
122300000X	Dentist	–	–	Yes

Other names

Sage Dental Of Alafaya 2 PLLC (Doing Business As)

Practice location

12950 E Colonial Dr Ste 124
Orlando, FL 32826-4609

Phone 561-999-9650

Mailing address

Po Box 931622
Atlanta, GA 31193-1622

Phone 561-999-9650

Authorized official

Cindy Roark
Svp & Chief Clinical Officer
5619999650

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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