Sage Dental Group of Georgia, LLC

NPI #1114459054 in Suwanee, Georgia

Provider Information

NPI Number: 1114459054
Entity Type: Organization
Organization Name: Sage Dental Group of Georgia, LLC
Primary Specialty: Dentist
Enumeration Date: Mar 30, 2017
Last Updated: May 18, 2023

Practice Location

Address: 3429 LAWRENCEVILLE SUWANEE RD
City: Suwanee
State: Georgia
ZIP Code: 30024-2433
Phone: (678) 765-9133

Authorized Official

Name: JONATHAN CHANG, DMD
Title: CHIEF DENTAL DIRECTOR
Phone: (678) 765-9133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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