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

Sage Dental of Fort Myers at Alico Commons

Organization Dentist · NPI 1063251874

Sage Dental of Fort Myers at Alico Commons provides Dentist services in Fort Myers, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

16960 Alico Mission Way Ste 100-101
Fort Myers, FL 33908-4844
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 number1063251874
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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