Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sage Dental of Ormond Beach, PLLC

Organization Dentist · NPI 1457229957

Sage Dental of Ormond Beach, PLLC provides Dentist services in Ormond Beach, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1280 W Granada Blvd Ste 100
Ormond Beach, FL 32174-5974
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 number1457229957
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Roark — Svp & Chief Clinical Officer · (561) 999-9650
NPI enumeratedOctober 27, 2025
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025
Mailing address6600 Congress Ave Ste 150, Boca Raton, FL 33487-1213

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