Organization · Type 2 NPI

Sage Dental Group of Georgia, LLC

Dentist · Suwanee, GA

NPI number 1114459054 Active

Practice location

3429 Lawrenceville Suwanee Rd
Suwanee, GA 30024-2433

Call (678) 765-9133 Map

Fax (561) 431-8169

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	None 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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NPI record

NPI: 1114459054
Entity type: Organization (Type 2)
Issued: Mar 30, 2017
Last updated: May 18, 2023
Status: Active

Other names

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Sage Dental of Suwanee · doing business as
Sage Dental of Suwanee · doing business as

Authorized official

Jonathan Chang, DMD
Chief Dental Director
(678) 765-9133

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114459054

Sage Dental Group of Georgia, LLC's National Provider Identifier is 1114459054, issued on Mar 30, 2017. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Suwanee, GA. The record was last updated on May 18, 2023.