| Sage Dental Group Of Georgia Llc | |
|
4320 Lavista Rd Suite C119 Tucker GA 30084 | |
| (678) 688-4811 | |
| (561) 431-8169 |
| Full Name | Sage Dental Group Of Georgia Llc |
|---|---|
| Speciality | Dentist |
| Location | 4320 Lavista Rd, Tucker, Georgia |
| Authorized Official Name and Position | Jonathan Chang (CHIEF DENTAL DIRECTOR) |
| 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 6600 Congress Ave Ste 150 Boca Raton FL 33487-1213 Ph: (678) 688-4811 | Sage Dental Group Of Georgia Llc 4320 Lavista Rd Suite C119 Tucker GA 30084 Ph: (678) 688-4811 |
| NPI Number | 1164956157 |
|---|---|
| Provider Enumeration Date | 04/17/2017 |
| Last Update Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164956157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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