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

Sage Dental of Jacksonville Midtown PLLC

Organization Dentist · NPI 1689453060

Sage Dental of Jacksonville Midtown PLLC provides Dentist services in Jacksonville, 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.

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Practice location Address checks out

2797 Saint Johns Bluff Rd S
Jacksonville, FL 32246-3703
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 number1689453060
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Roark — Svp & Chief Clinical Officer · (561) 999-9650
Other names Sage Dental Of Jacksonville Midtown Pllc
NPI enumeratedSeptember 26, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023
Mailing addressPo Box 931622, Atlanta, GA 31193-1622

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