Sage Dental Of Brandon Pllc | |
410 W Bloomingdale Ave Brandon FL 33511-7402 | |
(813) 654-0037 | |
Not Available |
Full Name | Sage Dental Of Brandon Pllc |
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Speciality | Dentist |
Location | 410 W Bloomingdale Ave, 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 |
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Sage Dental Of Brandon Pllc 6600 Congress Ave Ste 150 Boca Raton FL 33487-1213 Ph: (561) 999-9650 | Sage Dental Of Brandon Pllc 410 W Bloomingdale Ave Brandon FL 33511-7402 Ph: (813) 654-0037 |
NPI Number | 1417617689 |
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Provider Enumeration Date | 12/29/2021 |
Last Update Date | 05/19/2023 |
Identifier | Type | State | Issuer |
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1417617689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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