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

Sage Dental of Lakeland South PLLC

Organization Dentist · NPI 1215503206

Sage Dental of Lakeland South PLLC is a Dentist in Lakeland, 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

4021 S Florida Ave
Lakeland, FL 33813-1623
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 number1215503206
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Roark — President · (561) 999-9650
NPI enumeratedJune 1, 2021
Last updated in NPPESJune 8, 2023
Certification dateJune 8, 2023
Mailing address6600 Congress Ave Ste 150, Boca Raton, FL 33487-1213

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