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

Sage Dental of South Tampa, PLLC

Organization Dentist · NPI 1801594783

Sage Dental of South Tampa, PLLC provides Dentist services in Tampa, Florida. Registered with an NPI since 2023.

In the registry since
2023
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

1501 S Dale Mabry Hwy Ste 101A
Tampa, FL 33629-5837
Phone: (813) 463-2757
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 number1801594783
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Roark — Svp & Chief Clinical Officer · (561) 999-9650
NPI enumeratedFebruary 20, 2023
Last updated in NPPESFebruary 20, 2023
Certification dateFebruary 20, 2023
Mailing address6600 Congress Ave Ste 150, Boca Raton, FL 33487-1213

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