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

Sage Dental of Beachwalk PLLC

Organization Dentist · NPI 1205615580

Sage Dental of Beachwalk PLLC is a Dentist in St Johns, Florida. Registered with an NPI since 2023.

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

See every abbreviation used in this directory →

Practice location Address checks out

855 County Road 210 W Ste A2-A3
St Johns, FL 32259-1147
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 number1205615580
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Roark — Svp & Chief Clinical Officer · (561) 999-9650
Other names Sage Dental Of Beachwalk Pllc
NPI enumeratedSeptember 26, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023
Mailing addressPo Box 931622, Atlanta, GA 31193-1622

Other providers in St Johns