Sage Dental Group Of Georgia Llc | |
1227 Rockbridge Rd Ste 300 Stone Mountain GA 30087-3065 | |
(561) 999-9650 | |
Not Available |
Full Name | Sage Dental Group Of Georgia Llc |
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Speciality | Dentist |
Location | 1227 Rockbridge Rd Ste 300, Stone Mountain, 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 |
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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 1227 Rockbridge Rd Ste 300 Stone Mountain GA 30087-3065 Ph: (561) 999-9650 |
NPI Number | 1568132553 |
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Provider Enumeration Date | 09/20/2021 |
Last Update Date | 09/20/2021 |
Identifier | Type | State | Issuer |
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1568132553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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