Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sage Dental Group of Georgia, LLC

Organization Dentist · NPI 1083309850

Sage Dental Group of Georgia, LLC is a Dentist in Kennesaw, Georgia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1610 Ridenour Blvd NW Ste 102103
Kennesaw, GA 30152-4484
Phone: (561) 999-9650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1083309850
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Roark — Svp & Chief Clinical Officer · (561) 999-9650
Other names Sage Dental Of Kennesaw
NPI enumeratedApril 7, 2023
Last updated in NPPESApril 7, 2023
Certification dateApril 7, 2023
Mailing address6600 Congress Ave Ste 150, Boca Raton, FL 33487-1213

Other providers in Kennesaw