Sage Dental Group of Georgia, LLC

NPI #1083309850 in Kennesaw, Georgia

Provider Information

NPI Number: 1083309850
Entity Type: Organization
Organization Name: Sage Dental Group of Georgia, LLC
Primary Specialty: Dentist
Enumeration Date: Apr 7, 2023
Last Updated: Apr 7, 2023

Practice Location

Address: 1610 RIDENOUR BLVD NW STE 102103
City: Kennesaw
State: Georgia
ZIP Code: 30152-4484
Phone: (561) 999-9650

Authorized Official

Name: CINDY ROARK, DMD. MS
Title: SVP & CHIEF CLINICAL OFFICER
Phone: (561) 999-9650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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