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SAGE DENTAL OF ST. PETERSBURG AT 4TH STREET
NPI 1043190143
Dentist in St. Petersburg, FL

Active since September 08, 2025
3303 4TH STREET N. SUITE 200, ST. PETERSBURG, FL 33704(561) 999-9650 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sage Dental Of St. Petersburg At 4th Street NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAGE DENTAL OF ST. PETERSBURG AT 4TH STREET (NPI 1043190143) is a healthcare organization registered as a dentist in St. Petersburg, Florida and active in the NPI registry since September 2025. The organization lists Cindy Roark, Svp & Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1043190143
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSAGE DENTAL OF ST. PETERSBURG AT 4TH STREET
Location Address3303 4TH STREET N. SUITE 200St. Petersburg, FL 33704
Mailing Address6600 Congress Ave Ste 150Boca Raton, FL 33487-1213
Phone(561) 999-9650
Organization SubpartNo
Authorized OfficialCindy RoarkSvp & Chief Clinical Officer · (561) 999-9650
Enumeration DateSeptember 8, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1043190143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3303 4TH STREET N. SUITE 200, St. Petersburg, FL 33704
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sage Dental Of St. Petersburg At 4th Street's NPI number?

The NPI number for Sage Dental Of St. Petersburg At 4th Street is 1043190143. It was assigned to this organization in the NPPES registry on September 8, 2025.

Where is Sage Dental Of St. Petersburg At 4th Street located?

Sage Dental Of St. Petersburg At 4th Street is located at 3303 4th Street N. Suite 200, St. Petersburg, FL 33704. The listed phone number is (561) 999-9650.

What is Sage Dental Of St. Petersburg At 4th Street's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Sage Dental Of St. Petersburg At 4th Street was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.