Sage Dental of Beachwalk Pllc

NPI #1205615580 in St Johns, Florida

Provider Information

NPI Number: 1205615580
Entity Type: Organization
Organization Name: Sage Dental of Beachwalk Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 26, 2023
Last Updated: Sep 26, 2023

Practice Location

Address: 855 COUNTY ROAD 210 W STE A2-A3
City: St Johns
State: Florida
ZIP Code: 32259-1147
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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