NPI 1093578429
Sage Dental of Lebanon, PLLC
Practice location
- Address
- 1443 W Main St STE 200, Lebanon, TN 37087-7026
- Phone
- (561) 999-9650
- Mailing address
- PO Box 931622, Atlanta, GA 31193-1622
Authorised official
- Name
- Cindy Roark
- Title
- Svp & Chief Clinical Officer
- Phone
- (561) 999-9650
Registered specialties
Dentist
Primary
Registry record
- NPI
- 1093578429
- Entity type
- Organization
- NPI issued
- 30 Jan 2024
- Record last updated
- 30 Jan 2024
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.