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

Sage Dental of Estero

Organization Dentist · NPI 1104704220

Sage Dental of Estero provides Dentist services in Estero, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

22911 Lyden Dr Ste B
Estero, FL 33928-7046
Phone: (239) 676-6219
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 number1104704220
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Roark — Svp & Chief Clinical Officer · (561) 999-9650
NPI enumeratedAugust 26, 2025
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025
Mailing address6600 Congress Ave Ste 150, Boca Raton, FL 33487-1213

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