Sage Dental Group of Georgia, LLC

NPI #1164099230 in Atlanta, Georgia

Provider Information

NPI Number: 1164099230
Entity Type: Organization
Organization Name: Sage Dental Group of Georgia, LLC
Primary Specialty: Dentist
Enumeration Date: Jun 8, 2021
Last Updated: Jun 11, 2021

Practice Location

Address: 2171 LAVISTA RD NE
City: Atlanta
State: Georgia
ZIP Code: 30329-3915
Phone: (561) 999-9650

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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