| Sage Dental Group Of Georgia Llc | |
|
4811 Lower Roswell Rd Suite 108 Marietta GA 30068-4372 | |
| (678) 905-6001 | |
| (561) 431-8169 |
| Full Name | Sage Dental Group Of Georgia Llc |
|---|---|
| Speciality | Dentist |
| Location | 4811 Lower Roswell Rd, Marietta, Georgia |
| Authorized Official Name and Position | Jonathan Chang (CHIEF DENTAL DIRECTOR) |
| 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: (678) 905-6001 | Sage Dental Group Of Georgia Llc 4811 Lower Roswell Rd Suite 108 Marietta GA 30068-4372 Ph: (678) 905-6001 |
| NPI Number | 1194260679 |
|---|---|
| Provider Enumeration Date | 12/20/2016 |
| Last Update Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194260679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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