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

Sage Dental of St Petersburg at 4th Street

Organization Dentist · NPI 1043190143

Sage Dental of St Petersburg at 4th Street provides Dentist services in St Petersburg, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3303 4th St N Ste 200
St Petersburg, FL 33704
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 number1043190143
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Roark — Svp & Chief Clinical Officer · (561) 999-9650
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateAugust 26, 2025
Mailing address6600 Congress Ave Ste 150, Boca Raton, FL 33487-1213

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