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SAGE DENTAL GROUP OF GEORGIA, LLC
NPI 1164099230
Dentist in Atlanta, GA

Active since June 08, 2021
2171 LAVISTA RD NE, ATLANTA, GA 30329(561) 999-9650 Get Directions Write a Review

NPPES record last updated: June 11, 2021. 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 1164099230) is a healthcare organization registered as a dentist in Atlanta, Georgia and active in the NPI registry since June 2021. The organization lists Cindy Roark, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1164099230
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSAGE DENTAL GROUP OF GEORGIA, LLC
Location Address2171 LAVISTA RD NEAtlanta, GA 30329-3915
Mailing Address951 Broken Sound Pkwy Nw Ste 250Boca Raton, FL 33487-3506 · (561) 999-9650
Phone(561) 999-9650
Organization SubpartNo
Authorized OfficialCindy RoarkChief Clinical Officer · (561) 999-9650
Enumeration DateJune 8, 2021
Last NPPES UpdateJune 11, 2021
NPPES CertifiedJune 11, 2021
✔ NPI 1164099230 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.
2171 LAVISTA RD NE, Atlanta, GA 30329
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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

Other Providers at the Same Location NPPES

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

DANIEL GALVEZ DDS
Dentist (General Practice)
2171 LAVISTA RD NE
ATLANTA, GA 30329
Dekalb County (404) 460-5710

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 1164099230. It was assigned to this organization in the NPPES registry on June 8, 2021.

Where is Sage Dental Group Of Georgia, LLC located?

Sage Dental Group Of Georgia, LLC is located at 2171 Lavista Rd NE, Atlanta, GA 30329. 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 June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.