| Sage Dental Group Of Georgia, Llc | |
|
1610 Ridenour Blvd Nw Ste 102103 Kennesaw GA 30152-4484 | |
| (561) 999-9650 | |
| Not Available |
| Full Name | Sage Dental Group Of Georgia, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1610 Ridenour Blvd Nw Ste 102103, Kennesaw, Georgia |
| Authorized Official Name and Position | Cindy Roark (SVP & CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 5619999650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Dental Group Of Georgia, Llc 6600 Congress Ave Ste 150 Boca Raton FL 33487-1213 Ph: () - | Sage Dental Group Of Georgia, Llc 1610 Ridenour Blvd Nw Ste 102103 Kennesaw GA 30152-4484 Ph: (561) 999-9650 |
| NPI Number | 1083309850 |
|---|---|
| Provider Enumeration Date | 04/07/2023 |
| Last Update Date | 04/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083309850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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