Organization · Type 2 NPI

Sage Dental of St. Petersburg at 4th Street

Dentist · St. Petersburg, FL

NPI number 1043190143 Active

Practice location

3303 4th Street N. Suite 200
St. Petersburg, FL 33704

Mailing address

6600 Congress Ave Ste 150
Boca Raton, FL 33487-1213

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1043190143

Sage Dental of St. Petersburg at 4th Street's National Provider Identifier is 1043190143, issued on Sep 8, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in St. Petersburg, FL. The record was last updated on Sep 8, 2025.