| Sage Dental Of Rivertown Pllc | |
|
205 Rivertown Shops Dr Ste 104 St Johns FL 32259-7476 | |
| (561) 999-9650 | |
| Not Available |
| Full Name | Sage Dental Of Rivertown Pllc |
|---|---|
| Speciality | Dentist |
| Location | 205 Rivertown Shops Dr Ste 104, St Johns, 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 Rivertown Pllc Po Box 931622 Atlanta GA 31193-1622 Ph: () - | Sage Dental Of Rivertown Pllc 205 Rivertown Shops Dr Ste 104 St Johns FL 32259-7476 Ph: (561) 999-9650 |
| NPI Number | 1184403495 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184403495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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