Sage Dental Group of Georgia, LLC

NPI #1982369542 in Cumming, Georgia

Provider Information

NPI Number: 1982369542
Entity Type: Organization
Organization Name: Sage Dental Group of Georgia, LLC
Primary Specialty: Dentist
Enumeration Date: Nov 8, 2021
Last Updated: Aug 5, 2022

Practice Location

Address: 5310 MATT HWY STE 305
City: Cumming
State: Georgia
ZIP Code: 30028-8627
Phone: (561) 999-9650

Authorized Official

Name: RACHEL NITTINGER
Title: DIRECTOR, PROVIDER CREDENTIALING
Phone: (561) 999-9650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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