| Sage Dental Of Brandon 2 Pllc | |
|
2114 W Brandon Blvd Brandon FL 33511-4704 | |
| (561) 999-9650 | |
| Not Available |
| Full Name | Sage Dental Of Brandon 2 Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2114 W Brandon Blvd, Brandon, Florida |
| 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 Of Brandon 2 Pllc 6600 Congress Ave Ste 150 Boca Raton FL 33487-1213 Ph: (561) 999-9650 | Sage Dental Of Brandon 2 Pllc 2114 W Brandon Blvd Brandon FL 33511-4704 Ph: (561) 999-9650 |
| NPI Number | 1588309165 |
|---|---|
| Provider Enumeration Date | 04/28/2022 |
| Last Update Date | 05/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588309165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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