Organization · Type 2 NPI

Sage Dental Group of Georgia, LLC

Dentist · Braselton, GA

NPI number 1780447110 Active

Practice location

3701 Village Way Ste C
Braselton, GA 30517-2201

Call (561) 999-9650 Map

Mailing address

PO Box 931622
Atlanta, GA 31193-1622

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…

NPI record

NPI: 1780447110
Entity type: Organization (Type 2)
Issued: Jan 30, 2024
Last updated: May 20, 2025
Status: Active

Other names

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Sage Dental of Braselton · doing business as
Sage Dental of Braselton · doing business as

Authorized official

Dr. Cindy Roark
SVP & Chief Clinical Officer
(561) 999-9650

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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 1780447110

Sage Dental Group of Georgia, LLC's National Provider Identifier is 1780447110, issued on Jan 30, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Braselton, GA. The record was last updated on May 20, 2025.