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

Sage Dental of Lake Mary PLLC

Organization Dentist · NPI 1043674872

Sage Dental of Lake Mary PLLC provides Dentist services in Lake Mary, Florida. Registered with an NPI since 2016.

In the registry since
2016
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

3801 W Lake Mary Blvd Ste 111
Lake Mary, FL 32746-6159
Phone: (407) 936-3400
Fax: (561) 431-8169
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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 number1043674872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antonio Cruz — Chief Dental Director · (561) 999-9650
NPI enumeratedApril 7, 2016
Last updated in NPPESApril 19, 2017
Mailing address951 Broken Sound Pkwy, Suite 250, Boca Raton, FL 33487-3507

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