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

Sage Dental of Daytona at Cornerstone, PLLC

Organization Dentist · NPI 1205546231

Sage Dental of Daytona at Cornerstone, PLLC provides Dentist services in Daytona Beach, Florida. Registered with an NPI since 2022.

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

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Practice location Address checks out

1540 Cornerstone Blvd Ste 100
Daytona Beach, FL 32117-7144
Phone: (470) 990-8722
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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 number1205546231
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Roark — Svp & Chief Clinical Officer · (561) 999-9650
NPI enumeratedNovember 30, 2022
Last updated in NPPESMay 19, 2023
Certification dateMay 19, 2023
Mailing address6600 Congress Ave Ste 150, Boca Raton, FL 33487-1213

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