NPI 1174386502

Sage Dental Group of Georgia, LLC

Organisation Dentist Canton, GA

Practice location

Address: 3750 Sixes Rd, Canton, GA 30114-7801
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

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1174386502
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.