Sage Dental Group Of Georgia LLC
Dentist in Newnan, GA. Organization (NPI-2).
NPI number1497328397
StatusActive
Last updated in NPPESNov 6, 2025
Details
- NPI
- 1497328397
- Entity type
- Organization (NPI-2)
- Legal business name
- Sage Dental Group Of Georgia LLC
- Organization subpart
- No
- Enumeration date
- Jul 20, 2021
- Certification date
- Nov 6, 2025
- Last updated
- Nov 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Sage Dental Of Newnan (Doing Business As)
Practice location
440 Newnan Crossing Byp Ste 102Newnan, GA 30263-2476
Phone 770-776-5871
Mailing address
6600 Congress Ave Ste 150Boca Raton, FL 33487-1213
Phone 561-999-9650
Authorized official
Cindy Roark
Svp & Chief Clinical Officer
5619999650
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