SAGE DENTAL OF AVALON PARK PLLC
NPI 1265194054
Dentist in Orlando, FL

Q: What is Sage Dental Of Avalon Park PLLC's NPI number?

The NPI number for Sage Dental Of Avalon Park PLLC is 1265194054. It was assigned to this organization in the NPPES registry on October 8, 2021.

Q: What is Sage Dental Of Avalon Park PLLC's specialty?

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

Active since October 08, 2021

12990 TANJA KING BLVD, ORLANDO, FL 32828(561) 999-9650 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2023, Oct 8, 2021 (2 updates tracked since 2021).

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About Sage Dental Of Avalon Park Pllc NPPES

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

SAGE DENTAL OF AVALON PARK PLLC (NPI 1265194054) is a healthcare organization registered as a dentist in Orlando, Florida and active in the NPI registry since October 2021. The organization lists Cindy Roark, Svp, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1265194054

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSAGE DENTAL OF AVALON PARK PLLC

Location Address12990 TANJA KING BLVDOrlando, FL 32828-7380

Mailing Address6600 Congress Ave Ste 150Boca Raton, FL 33487-1213 · (561) 999-9650

Phone(561) 999-9650

Organization SubpartNo

Authorized OfficialCindy RoarkSvp, Chief Clinical Officer · (561) 999-9650

Enumeration DateOctober 8, 2021

Last NPPES UpdateMay 19, 20232 updates tracked since enumeration

NPPES CertifiedMay 19, 2023

✔ NPI 1265194054 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.

12990 TANJA KING BLVD, Orlando, FL 32828

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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 2

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

ANDREA CAROLINA CASTILLO ARMAS DMD

Dentist (General Practice)

12990 TANJA KING BLVD
ORLANDO, FL 32828

Orange County (689) 206-5097

DR. RAWAN NAJJAR DMD

Dentist (General Practice)

12990 TANJA KING BLVD
ORLANDO, FL 32828

Orange County (689) 206-5097

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 Avalon Park PLLC's NPI number?

The NPI number for Sage Dental Of Avalon Park PLLC is 1265194054. It was assigned to this organization in the NPPES registry on October 8, 2021.

Where is Sage Dental Of Avalon Park PLLC located?

Sage Dental Of Avalon Park PLLC is located at 12990 Tanja King Blvd, Orlando, FL 32828. The listed phone number is (561) 999-9650.

What is Sage Dental Of Avalon Park PLLC's specialty?

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

What insurance does Sage Dental Of Avalon Park PLLC accept?

Health plans from Ambetter Health, Ambetter of Alabama and DentaQuest Insurance Company, Inc. list Sage Dental Of Avalon Park 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 Avalon Park PLLC was last updated on May 19, 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.