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

Sage Dental of Brandon PLLC

Organization Dentist · NPI 1417617689

Sage Dental of Brandon PLLC is a Dentist in Brandon, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

410 W Bloomingdale Ave
Brandon, FL 33511-7402
Phone: (813) 654-0037
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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 number1417617689
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Roark — Svp & Chief Clinical Officer · (561) 999-9650
NPI enumeratedDecember 29, 2021
Last updated in NPPESMay 19, 2023
Certification dateMay 19, 2023
Mailing address6600 Congress Ave Ste 150, Boca Raton, FL 33487-1213

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