| Sage Dental Group Of Georgia Llc | |
|
4320 Lavista Rd Suite C119 Tucker GA 30084 | |
| (678) 688-4811 | |
| (561) 431-8169 |
| Full Name | Sage Dental Group Of Georgia Llc |
|---|---|
| Speciality | Dentist |
| Location | 4320 Lavista Rd, Tucker, 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) 688-4811 | Sage Dental Group Of Georgia Llc 4320 Lavista Rd Suite C119 Tucker GA 30084 Ph: (678) 688-4811 |
| NPI Number | 1164956157 |
|---|---|
| Provider Enumeration Date | 04/17/2017 |
| Last Update Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164956157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Dr. Hector M. Bush, P. C. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3983 Lavista Rd, Suite 192 Thru 196, Tucker, GA 30084 Phone: 770-939-3700 Fax: 770-685-7668 | |
Donald H. Bohne, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4958 Lavista Rd, Tucker, GA 30084 Phone: 770-939-6600 Fax: 770-939-1287 | |
Banstola Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 Brockett Rd, Tucker, GA 30084 Phone: 770-934-1698 | |
Itarut Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3756 La Vista Rd, Suite 102, Tucker, GA 30084 Phone: 404-636-4700 | |
Peach Blossom Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2256 Northlake Pkwy Ste 150, Tucker, GA 30084 Phone: 770-934-5144 Fax: 678-273-3634 | |
Douglas R Wurster, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2183 Northlake Pkwy, Ste 108, Tucker, GA 30084 Phone: 770-934-4646 Fax: 770-939-6283 |