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SAGE DENTAL OF PORT ST LUCIE WEST, PLLC
NPI 1205193539
Dentist in Port St Lucie, FL

Active since April 11, 2012
1722 SW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986(772) 337-8600(561) 431-8169 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sage Dental Of Port St Lucie West, Pllc NPPES

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

SAGE DENTAL OF PORT ST LUCIE WEST, PLLC (NPI 1205193539) is a healthcare organization registered as a dentist in Port St Lucie, Florida and active in the NPI registry since April 2012. The organization lists Antonio Cruz, Chief Dental Director, as its authorized official.

NPPES Registry Identity

NPI1205193539
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSAGE DENTAL OF PORT ST LUCIE WEST, PLLC
Location Address1722 SW SAINT LUCIE WEST BLVDPort St Lucie, FL 34986-2504
Mailing Address951 Broken Sound Pkwy, Suite 250Boca Raton, FL 33487 · (561) 999-9650 · Fax (561) 431-8169
Phone(772) 337-8600
Fax(561) 431-8169
Organization SubpartNo
Authorized OfficialAntonio CruzChief Dental Director · (561) 999-9650
Enumeration DateApril 11, 2012
Last NPPES UpdateApril 19, 2017
✔ NPI 1205193539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN6483
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.
1722 SW SAINT LUCIE WEST BLVD, Port St Lucie, FL 34986
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, DentaQuest Insurance Company, Inc..Insurance ›

Other Providers at the Same Location NPPES 4

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

BEETA AKHAVAN
Dentist
1722 SW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 337-8600
DR. ROSS ANDREW HAUER DMD
Dentist (Periodontics)
1722 SW SAINT LUCIE WEST BLVD
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 337-8600
PAUL MATTHEW CLINEY RDH
Dental Hygienist
1722 SW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 337-8600
MANUEL ARTURO CAPRILES JAQUEZ DDS
Dentist (General Practice)
1722 SW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (903) 486-5737

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 Port St Lucie West, PLLC's NPI number?

The NPI number for Sage Dental Of Port St Lucie West, PLLC is 1205193539. It was assigned to this organization in the NPPES registry on April 11, 2012.

Where is Sage Dental Of Port St Lucie West, PLLC located?

Sage Dental Of Port St Lucie West, PLLC is located at 1722 SW Saint Lucie West Blvd, Port St Lucie, FL 34986. The listed phone number is (772) 337-8600.

What is Sage Dental Of Port St Lucie West, PLLC's specialty?

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

What insurance does Sage Dental Of Port St Lucie West, PLLC accept?

Health plans from Ambetter Health, Ambetter of Alabama and DentaQuest Insurance Company, Inc. list Sage Dental Of Port St Lucie West, PLLC 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 Port St Lucie West, PLLC was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.