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

Sage Dental of Lake Mary PLLC

Organization Dentist · NPI 1043674872

Sage Dental of Lake Mary PLLC is a Dentist in Lake Mary, Florida. Registered with an NPI since 2016.

In the registry since
2016
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

3801 W Lake Mary Blvd Ste 111
Lake Mary, FL 32746-6159
Phone: (407) 936-3400
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 number1043674872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antonio Cruz — Chief Dental Director · (561) 999-9650
NPI enumeratedApril 7, 2016
Last updated in NPPESApril 19, 2017
Mailing address951 Broken Sound Pkwy, Suite 250, Boca Raton, FL 33487-3507

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