| Sage Dental Group Of Georgia, Llc | |
|
2171 Lavista Rd Ne Atlanta GA 30329-3915 | |
| (561) 999-9650 | |
| Not Available |
| Full Name | Sage Dental Group Of Georgia, Llc |
|---|---|
| Speciality | Dentist |
| Location | 2171 Lavista Rd Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Cindy Roark (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 5619999650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Dental Group Of Georgia, Llc 951 Broken Sound Pkwy Nw Ste 250 Boca Raton FL 33487-3506 Ph: (561) 999-9650 | Sage Dental Group Of Georgia, Llc 2171 Lavista Rd Ne Atlanta GA 30329-3915 Ph: (561) 999-9650 |
| NPI Number | 1164099230 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 06/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164099230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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