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

Sage Dental Group of Georgia, LLC

Organization Dentist · NPI 1528779121

Sage Dental Group of Georgia, LLC provides Dentist services in Gainesville, Georgia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1979 Jesse Jewell Pkwy Ste 102
Gainesville, GA 30501
Phone: (561) 999-9650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1528779121
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Roark — Svp & Chief Clinical Officer · (561) 999-9650
Other names Sage Dental Of Gainesville; Sage Dental Of Gainesville
NPI enumeratedDecember 6, 2022
Last updated in NPPESMay 30, 2023
Certification dateMay 18, 2023
Mailing address951 Broken Sound Pkwy Nw Ste 250, Boca Raton, FL 33487-3506

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