SAGE DENTAL OF ESTERO
NPI 1104704220
Dentist in Estero, FL

Active since August 26, 2025
22911 LYDEN DR STE B, ESTERO, FL 33928(239) 676-6219 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sage Dental Of Estero NPPES

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

SAGE DENTAL OF ESTERO (NPI 1104704220) is a healthcare organization registered as a dentist in Estero, Florida and active in the NPI registry since August 2025. The organization lists Cindy Roark, Svp & Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1104704220
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSAGE DENTAL OF ESTERO
Location Address22911 LYDEN DR STE BEstero, FL 33928-7046
Mailing Address6600 Congress Ave Ste 150Boca Raton, FL 33487-1213
Organization SubpartNo
Authorized OfficialCindy RoarkSvp & Chief Clinical Officer · (561) 999-9650
Enumeration DateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
NPI 1104704220 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.
22911 LYDEN DR STE B, Estero, FL 33928

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

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
22911 LYDEN DR STE B
ESTERO, FL 33928
Dentist
22911 LYDEN DR STE B
ESTERO, FL 33928

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 Estero's NPI number?

The NPI number for Sage Dental Of Estero is 1104704220. It was assigned to this organization in the NPPES registry on August 26, 2025.

Where is Sage Dental Of Estero located?

Sage Dental Of Estero is located at 22911 Lyden Dr Ste B, Estero, FL 33928. The listed phone number is (239) 676-6219.

What is Sage Dental Of Estero's specialty?

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

What insurance does Sage Dental Of Estero accept?

Health plans from Ambetter Health and Ambetter of Alabama list Sage Dental Of Estero as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sage Dental Of Estero was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.