| Sage Dental Of Lebanon, Pllc | |
|
1443 W Main St Ste 200 Lebanon TN 37087-7026 | |
| (561) 999-9650 | |
| Not Available |
| Full Name | Sage Dental Of Lebanon, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1443 W Main St Ste 200, Lebanon, Tennessee |
| 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 Of Lebanon, Pllc Po Box 931622 Atlanta GA 31193-1622 Ph: () - | Sage Dental Of Lebanon, Pllc 1443 W Main St Ste 200 Lebanon TN 37087-7026 Ph: (561) 999-9650 |
| NPI Number | 1093578429 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 01/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093578429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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