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

Sage Dental of Titusville, PLLC

Organization Dentist · NPI 1508564154

Sage Dental of Titusville, PLLC is a Dentist in Titusville, Florida. Registered with an NPI since 2023.

In the registry since
2023
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

2560 S Washington Ave Ste 200
Titusville, FL 32780
Phone: (470) 990-8719
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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 number1508564154
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Roark — Svp & Chief Clinical Officer · (561) 999-9650
NPI enumeratedFebruary 22, 2023
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 20, 2023
Mailing address6600 Congress Ave Ste 150, Boca Raton, FL 33487-1213

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