Sage Dental Of Royal Palm Beach, PLLC

Dentist in Royal Palm Beach, FL. Organization (NPI-2).

NPI number1679900526

StatusActive

Last updated in NPPESApr 26, 2017

Details

NPI: 1679900526
Entity type: Organization (NPI-2)
Legal business name: Sage Dental Of Royal Palm Beach, PLLC
Organization subpart: No
Enumeration date: Oct 8, 2013
Last updated: Apr 26, 2017

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

Practice location

137 S State Road 7
Suite 301
Royal Palm Beach, FL 33414-4380

Phone 561-202-6880 · Fax 561-431-8169

Mailing address

951 Broken Sound Pkwy
Suite 250
Boca Raton, FL 33487

Phone 561-999-9650 · Fax 561-431-8169

Authorized official

Antonio Cruz
Chief Dental Director
5619999650

Is something wrong?

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Other Dentist providers in Royal Palm Beach, FL

All 25 Dentist providers in Royal Palm Beach · All 1,170 providers in Royal Palm Beach

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