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

Sage Dental of Durbin Creek, PLLC

Organization Dentist · NPI 1073352878

Sage Dental of Durbin Creek, PLLC provides Dentist services in St Johns, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

71 Doctors Village Dr Ste 303
St Johns, FL 32259-2406
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 number1073352878
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Roark — Svp & Chief Clinical Officer · (561) 999-9650
NPI enumeratedMay 21, 2024
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024
Mailing address6600 Congress Ave Ste 150, Boca Raton, FL 33487-1213

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