Organization · Type 2 NPI

Sage Dental Group of Georgia, LLC

Dentist · Gainesville, GA

NPI number 1528779121 Active

Practice location

1979 Jesse Jewell Parkway, Suite 102
Gainesville, GA 30501

Call (561) 999-9650 Map

Mailing address

951 Broken Sound Pkwy NW Ste 250
Boca Raton, FL 33487-3506

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: 1528779121
Entity type: Organization (Type 2)
Issued: Dec 6, 2022
Last updated: May 30, 2023
Status: Active

Other names

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Sage Dental of Gainesville · doing business as
Sage Dental of Gainesville · doing business as

Authorized official

Cindy Roark, DMD, MS
SVP & Chief Clinical Officer
(561) 999-9650

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 1528779121

Sage Dental Group of Georgia, LLC's National Provider Identifier is 1528779121, issued on Dec 6, 2022. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Gainesville, GA. The record was last updated on May 30, 2023.