Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sage Dental Group of Georgia LLC

Organization Dentist · NPI 1164956157

Sage Dental Group of Georgia LLC provides Dentist services in Tucker, Georgia. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4320 Lavista Rd Ste C119
Tucker, GA 30084
Phone: (678) 688-4811
Fax: (561) 431-8169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1164956157
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Chang — Chief Dental Director · (561) 999-9650
NPI enumeratedApril 17, 2017
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023
Mailing address6600 Congress Ave Ste 150, Boca Raton, FL 33487-1213

Other providers in Tucker