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 1528779121

Sage Dental Group of Georgia, LLC is a Dentist in Gainesville, Georgia. Registered with an NPI since 2022.

In the registry since
2022
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

1979 Jesse Jewell Pkwy Ste 102
Gainesville, GA 30501
Phone: (561) 999-9650
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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 number1528779121
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Roark — Svp & Chief Clinical Officer · (561) 999-9650
Other names Sage Dental Of Gainesville; Sage Dental Of Gainesville
NPI enumeratedDecember 6, 2022
Last updated in NPPESMay 30, 2023
Certification dateMay 18, 2023
Mailing address951 Broken Sound Pkwy Nw Ste 250, Boca Raton, FL 33487-3506

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