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

Sage Dental of Port St Lucie West, PLLC

Organization Dentist · NPI 1205193539

Sage Dental of Port St Lucie West, PLLC provides Dentist services in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
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

1722 SW Saint Lucie West Blvd
Port St Lucie, FL 34986-2504
Phone: (772) 337-8600
Fax: (561) 431-8169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN6483 (FL)

Record details

NPI number1205193539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antonio Cruz — Chief Dental Director · (561) 999-9650
NPI enumeratedApril 11, 2012
Last updated in NPPESApril 19, 2017
Mailing address951 Broken Sound Pkwy, Suite 250, Boca Raton, FL 33487

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