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SAGE DENTAL OF BRANDON PLLC
NPI 1417617689
Dentist in Brandon, FL

Active since December 29, 2021
410 W BLOOMINGDALE AVE, BRANDON, FL 33511(813) 654-0037 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2023, Dec 29, 2021 (2 updates tracked since 2021).

About Sage Dental Of Brandon Pllc NPPES

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

SAGE DENTAL OF BRANDON PLLC (NPI 1417617689) is a healthcare organization registered as a dentist in Brandon, Florida and active in the NPI registry since December 2021. The organization lists Cindy Roark, Svp & Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1417617689
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSAGE DENTAL OF BRANDON PLLC
Location Address410 W BLOOMINGDALE AVEBrandon, FL 33511-7402
Mailing Address6600 Congress Ave Ste 150Boca Raton, FL 33487-1213 · (561) 999-9650
Phone(813) 654-0037
Organization SubpartNo
Authorized OfficialCindy RoarkSvp & Chief Clinical Officer · (561) 999-9650
Enumeration DateDecember 29, 2021
Last NPPES UpdateMay 19, 20232 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
✔ NPI 1417617689 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.

410 W BLOOMINGDALE AVE, Brandon, FL 33511
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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 5

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

GARY SELBY DDS PA
Dentist (General Practice)
410 W BLOOMINGDALE AVE
BRANDON, FL 33511
Hillsborough County (813) 654-0037
HANNAH KAZAAL DMD
Dentist (General Practice)
410 W BLOOMINGDALE AVE
BRANDON, FL 33511
Hillsborough County (813) 531-9116
DR. SAM AYAD ISSA BDS, HDD
Dentist
410 W BLOOMINGDALE AVE
BRANDON, FL 33511
Hillsborough County (813) 654-0037
DR. JASON BRIAN BLUNDELL DDS
Dentist (Oral and Maxillofacial Surgery)
410 W BLOOMINGDALE AVE
BRANDON, FL 33511
Hillsborough County (813) 531-9116
DR. GARY ROYAL SELBY DDS
Dentist (General Practice)
410 W BLOOMINGDALE AVE
BRANDON, FL 33511
Hillsborough County (813) 654-0037

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 Brandon PLLC's NPI number?

The NPI number for Sage Dental Of Brandon PLLC is 1417617689. It was assigned to this organization in the NPPES registry on December 29, 2021.

Where is Sage Dental Of Brandon PLLC located?

Sage Dental Of Brandon PLLC is located at 410 W Bloomingdale Ave, Brandon, FL 33511. The listed phone number is (813) 654-0037.

What is Sage Dental Of Brandon PLLC's specialty?

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

What insurance does Sage Dental Of Brandon PLLC accept?

Health plans from Ambetter Health, Ambetter of Alabama and DentaQuest Insurance Company, Inc. list Sage Dental Of Brandon 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 Brandon PLLC was last updated on May 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.