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

Sage Dental of Mt Dora PLLC

Organization Dentist · NPI 1306412390

Sage Dental of Mt Dora PLLC provides Dentist services in Mount Dora, 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

17435 US Highway 441 Ste 107
Mount Dora, FL 32757-6750
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 number1306412390
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

Other providers in Mount Dora