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SAGE DENTAL GROUP OF GEORGIA, LLC
NPI 1083309850
Dentist in Kennesaw, GA

Active since April 07, 2023
1610 RIDENOUR BLVD NW STE 102103, KENNESAW, GA 30152(561) 999-9650 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sage Dental Group Of Georgia, Llc NPPES

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

SAGE DENTAL GROUP OF GEORGIA, LLC (NPI 1083309850), doing business as Sage Dental Of Kennesaw, is a healthcare organization registered as a dentist in Kennesaw, Georgia and active in the NPI registry since April 2023. The organization lists Cindy Roark, Svp & Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1083309850
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSAGE DENTAL GROUP OF GEORGIA, LLC
Location Address1610 RIDENOUR BLVD NW STE 102103Kennesaw, GA 30152-4484
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 DateApril 7, 2023
NPPES CertifiedApril 7, 2023
✔ NPI 1083309850 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.
1610 RIDENOUR BLVD NW STE 102103, Kennesaw, GA 30152
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Other Names 1

Doing Business AsSage Dental Of Kennesaw

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 Group Of Georgia, LLC's NPI number?

The NPI number for Sage Dental Group Of Georgia, LLC is 1083309850. It was assigned to this organization in the NPPES registry on April 7, 2023. The provider is doing business as Sage Dental of Kennesaw.

Where is Sage Dental Group Of Georgia, LLC located?

Sage Dental Group Of Georgia, LLC is located at 1610 Ridenour Blvd NW Ste 102103, Kennesaw, GA 30152. The listed phone number is (561) 999-9650.

What is Sage Dental Group Of Georgia, LLC'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 Group Of Georgia, LLC was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.