NPI 1083309850

Sage Dental Group of Georgia, LLC

Organisation Dentist Kennesaw, GA

Practice location

Address: 1610 Ridenour Blvd NW STE 102103, Kennesaw, GA 30152-4484
Phone: (561) 999-9650
Mailing address: 6600 Congress Ave STE 150, Boca Raton, FL 33487-1213

Authorised official

Name: Cindy Roark
Title: Svp & Chief Clinical Officer
Phone: (561) 999-9650

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1083309850
Entity type: Organization
NPI issued: 7 Apr 2023
Record last updated: 7 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.