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

Sage Dental Group of Georgia LLC

Organization Dentist · NPI 1164956157

Sage Dental Group of Georgia LLC is a Dentist in Tucker, Georgia. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4320 Lavista Rd Ste C119
Tucker, GA 30084
Phone: (678) 688-4811
Fax: (561) 431-8169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1164956157
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Chang — Chief Dental Director · (561) 999-9650
NPI enumeratedApril 17, 2017
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023
Mailing address6600 Congress Ave Ste 150, Boca Raton, FL 33487-1213

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