NPI 1285312231

Sage Dental Group of Georgia, LLC

Organisation Dentist Carrollton, GA

Practice location

Address: 775 S Park St STE 101, Carrollton, GA 30117-3813
Phone: (678) 839-0031
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: 1285312231
Entity type: Organization
NPI issued: 10 Jul 2023
Record last updated: 10 Jul 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.