| Sage Dental Group Of Georgia, Llc | |
|
3451 Ernest W Barrett Pkwy Nw Ste 190 Marietta GA 30064-5037 | |
| (561) 999-9650 | |
| Not Available |
| Full Name | Sage Dental Group Of Georgia, Llc |
|---|---|
| Speciality | Dentist |
| Location | 3451 Ernest W Barrett Pkwy Nw Ste 190, Marietta, Georgia |
| Authorized Official Name and Position | Rachel Nittinger (DIRECTOR, PROVIDER CREDENTIALING) |
| Authorized Official Contact | 9729558234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Dental Group Of Georgia, Llc 951 Broken Sound Pkwy Nw Ste 250 Boca Raton FL 33487-3506 Ph: (561) 999-9650 | Sage Dental Group Of Georgia, Llc 3451 Ernest W Barrett Pkwy Nw Ste 190 Marietta GA 30064-5037 Ph: (561) 999-9650 |
| NPI Number | 1962159293 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 03/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962159293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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