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SAGE DENTAL GROUP OF GEORGIA LLC
NPI 1164956157
Dentist in Tucker, GA

Active since April 17, 2017
4320 LAVISTA RD, SUITE C119, TUCKER, GA 30084(678) 688-4811(561) 431-8169 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2023, Feb 21, 2018, Apr 17, 2017 (3 updates tracked since 2017).

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 1164956157) is a healthcare organization registered as a dentist in Tucker, Georgia and active in the NPI registry since April 2017. The organization lists Jonathan Chang, Chief Dental Director, as its authorized official.

NPPES Registry Identity

NPI1164956157
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSAGE DENTAL GROUP OF GEORGIA LLC
Location Address4320 LAVISTA RD, SUITE C119Tucker, GA 30084
Mailing Address6600 Congress Ave Ste 150Boca Raton, FL 33487-1213 · (678) 688-4811 · Fax (561) 431-8169
Phone(678) 688-4811
Fax(561) 431-8169
Organization SubpartNo
Authorized OfficialJonathan ChangChief Dental Director · (561) 999-9650
Enumeration DateApril 17, 2017
Last NPPES UpdateMay 18, 20233 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
✔ NPI 1164956157 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.

4320 LAVISTA RD, Tucker, GA 30084
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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.

NATIONAL VISION INC
Optometrist
4320 LAVISTA RD
TUCKER, GA 30084
Dekalb County (770) 510-0935

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 1164956157. It was assigned to this organization in the NPPES registry on April 17, 2017.

Where is Sage Dental Group Of Georgia LLC located?

Sage Dental Group Of Georgia LLC is located at 4320 Lavista Rd Suite C119, Tucker, GA 30084. The listed phone number is (678) 688-4811.

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 May 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.