| Sage Dental Of Callahan Pllc | |
|
450031 Sr 200 Callahan FL 32011 | |
| (561) 999-9650 | |
| Not Available |
| Full Name | Sage Dental Of Callahan Pllc |
|---|---|
| Speciality | Dentist |
| Location | 450031 Sr 200, Callahan, 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 Callahan Pllc Po Box 931622 Atlanta GA 31193-1622 Ph: () - | Sage Dental Of Callahan Pllc 450031 Sr 200 Callahan FL 32011 Ph: (561) 999-9650 |
| NPI Number | 1053191742 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053191742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Rusha George Awad, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 450100 State Road 200, Callahan, FL 32011 Phone: 904-879-6998 |