SAGE DENTAL OF FORT MYERS AT ALICO COMMONS
NPI 1063251874
Dentist in Fort Myers, FL

Q: What is Sage Dental Of Fort Myers At Alico Commons's specialty?

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

Active since May 21, 2024

16960 ALICO MISSION WAY STE 100-101, FORT MYERS, FL 33908(561) 999-9650 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sage Dental Of Fort Myers At Alico Commons NPPES

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

SAGE DENTAL OF FORT MYERS AT ALICO COMMONS (NPI 1063251874) is a healthcare organization registered as a dentist in Fort Myers, Florida and active in the NPI registry since May 2024. The organization lists Cindy Roark, Svp & Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1063251874

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSAGE DENTAL OF FORT MYERS AT ALICO COMMONS

Location Address16960 ALICO MISSION WAY STE 100-101Fort Myers, FL 33908-4844

Mailing Address6600 Congress Ave Ste 150Boca Raton, FL 33487-1213 · (561) 999-9650

Phone(561) 999-9650

Organization SubpartNo

Authorized OfficialCindy RoarkSvp & Chief Clinical Officer · (561) 999-9650

Enumeration DateMay 21, 2024

NPPES CertifiedMay 21, 2024

✔ NPI 1063251874 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.

16960 ALICO MISSION WAY STE 100-101, Fort Myers, FL 33908

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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 Fort Myers At Alico Commons's NPI number?

The NPI number for Sage Dental Of Fort Myers At Alico Commons is 1063251874. It was assigned to this organization in the NPPES registry on May 21, 2024.

Where is Sage Dental Of Fort Myers At Alico Commons located?

Sage Dental Of Fort Myers At Alico Commons is located at 16960 Alico Mission Way Ste 100-101, Fort Myers, FL 33908. The listed phone number is (561) 999-9650.

What is Sage Dental Of Fort Myers At Alico Commons'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 Fort Myers At Alico Commons was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.