SAGE DENTAL OF JACKSONVILLE GLEN KERNAN, PLLC
NPI 1407689003
Dentist in Jacksonville, FL

Q: What is Sage Dental Of Jacksonville Glen Kernan, PLLC's specialty?

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

Active since August 21, 2024

4815 SWEETGRASS PL UNIT 101, JACKSONVILLE, FL 32224(561) 999-9650 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sage Dental Of Jacksonville Glen Kernan, Pllc NPPES

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

SAGE DENTAL OF JACKSONVILLE GLEN KERNAN, PLLC (NPI 1407689003) is a healthcare organization registered as a dentist in Jacksonville, Florida and active in the NPI registry since August 2024. The organization lists Cindy Roark, Svp & Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1407689003

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSAGE DENTAL OF JACKSONVILLE GLEN KERNAN, PLLC

Location Address4815 SWEETGRASS PL UNIT 101Jacksonville, FL 32224-0131

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 DateAugust 21, 2024

NPPES CertifiedAugust 21, 2024

✔ NPI 1407689003 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.

4815 SWEETGRASS PL UNIT 101, Jacksonville, FL 32224

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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.Insurance ›

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 Jacksonville Glen Kernan, PLLC's NPI number?

The NPI number for Sage Dental Of Jacksonville Glen Kernan, PLLC is 1407689003. It was assigned to this organization in the NPPES registry on August 21, 2024.

Where is Sage Dental Of Jacksonville Glen Kernan, PLLC located?

Sage Dental Of Jacksonville Glen Kernan, PLLC is located at 4815 Sweetgrass Pl Unit 101, Jacksonville, FL 32224. The listed phone number is (561) 999-9650.

What is Sage Dental Of Jacksonville Glen Kernan, PLLC's specialty?

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

What insurance does Sage Dental Of Jacksonville Glen Kernan, PLLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Sage Dental Of Jacksonville Glen Kernan, 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 Jacksonville Glen Kernan, PLLC was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.