Sage Dental Group of Georgia, LLC

NPI #1174386502 in Canton, Georgia

Provider Information

NPI Number: 1174386502
Entity Type: Organization
Organization Name: Sage Dental Group of Georgia, LLC
Primary Specialty: Dentist
Enumeration Date: Jan 30, 2024
Last Updated: Jan 30, 2024

Practice Location

Address: 3750 SIXES RD
City: Canton
State: Georgia
ZIP Code: 30114-7801
Phone: (561) 999-9650

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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