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

Sage Dental of Beachwalk PLLC

Organization Dentist · NPI 1205615580

Sage Dental of Beachwalk PLLC provides Dentist services in St Johns, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

855 County Road 210 W Ste A2-A3
St Johns, FL 32259-1147
Phone: (561) 999-9650
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 number1205615580
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Roark — Svp & Chief Clinical Officer · (561) 999-9650
Other names Sage Dental Of Beachwalk Pllc
NPI enumeratedSeptember 26, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023
Mailing addressPo Box 931622, Atlanta, GA 31193-1622

Other providers in St Johns