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

Sage Dental of Lebanon, PLLC

Organization Dentist · NPI 1093578429

Sage Dental of Lebanon, PLLC is a Dentist in Lebanon, Tennessee. Registered with an NPI since 2024.

In the registry since
2024
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

1443 W Main St Ste 200
Lebanon, TN 37087-7026
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 number1093578429
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Roark — Svp & Chief Clinical Officer · (561) 999-9650
NPI enumeratedJanuary 30, 2024
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing addressPo Box 931622, Atlanta, GA 31193-1622

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