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

Sage Dental of Lakeland South PLLC

Organization Dentist · NPI 1215503206

Sage Dental of Lakeland South PLLC provides Dentist services in Lakeland, Florida. Registered with an NPI since 2021.

In the registry since
2021
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

4021 S Florida Ave
Lakeland, FL 33813-1623
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 number1215503206
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Roark — President · (561) 999-9650
NPI enumeratedJune 1, 2021
Last updated in NPPESJune 8, 2023
Certification dateJune 8, 2023
Mailing address6600 Congress Ave Ste 150, Boca Raton, FL 33487-1213

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