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

Sage Dental of Estero

Organization Dentist · NPI 1104704220

Sage Dental of Estero is a Dentist in Estero, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

22911 Lyden Dr Ste B
Estero, FL 33928-7046
Phone: (239) 676-6219
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 number1104704220
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Roark — Svp & Chief Clinical Officer · (561) 999-9650
NPI enumeratedAugust 26, 2025
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025
Mailing address6600 Congress Ave Ste 150, Boca Raton, FL 33487-1213

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