| Sage Dental Group Of Georgia, Llc | |
|
1979 Jesse Jewell Parkway Suite 102 Gainesville GA 30501 | |
| (561) 999-9650 | |
| Not Available |
| Full Name | Sage Dental Group Of Georgia, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1979 Jesse Jewell Parkway, Gainesville, Georgia |
| Authorized Official Name and Position | Cindy Roark (SVP & 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 1979 Jesse Jewell Parkway Suite 102 Gainesville GA 30501 Ph: (561) 999-9650 |
| NPI Number | 1528779121 |
|---|---|
| Provider Enumeration Date | 12/06/2022 |
| Last Update Date | 05/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528779121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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