Sage Dental of Rivertown Pllc

NPI #1184403495 in St Johns, Florida

Provider Information

NPI Number: 1184403495
Entity Type: Organization
Organization Name: Sage Dental of Rivertown Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 26, 2023
Last Updated: Sep 26, 2023

Practice Location

Address: 205 RIVERTOWN SHOPS DR STE 104
City: St Johns
State: Florida
ZIP Code: 32259-7476
Phone: (561) 999-9650

Authorized Official

Name: 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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