Sage Dental Group Of Georgia, LLC
Dentist in Woodstock, GA. Organization (NPI-2).
NPI number1760129324
StatusActive
Last updated in NPPESMay 16, 2022
Details
- NPI
- 1760129324
- Entity type
- Organization (NPI-2)
- Legal business name
- Sage Dental Group Of Georgia, LLC
- Organization subpart
- No
- Enumeration date
- May 16, 2022
- Certification date
- May 16, 2022
- Last updated
- May 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Sage Dental Of Woodstock (Doing Business As)
Practice location
8265 Highway 92Woodstock, GA 30189-6516
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
Svp & Chief Clinical Officer
5619999650
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