Sage Dental Of Lake Mary Pllc

LBN: Sage Dental Of Lake Mary Pllc
Sage Dental Of Lake Mary Pllc is an health care organization with primary practice located at 3801 W Lake Mary Blvd Suite 111, Lake Mary FL 32746-6159. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Sage Dental Of Lake Mary Pllc can be contacted via phone (407) 936-3400, or through Cruz, Antonio via phone (561) 999-9650.

Contact Information

Primary practice address
3801 W Lake Mary Blvd Suite 111 Lake Mary FL 32746-6159
Phone: (407) 936-3400
Fax: (561) 431-8169
Website:
Map and Directions
Authorized official contact:
Name: Cruz, Antonio Doctor of Dental Medicine (DMD)
Phone: (561) 999-9650

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1043674872
LBN Legal business name Sage Dental Of Lake Mary Pllc
DBA Doing business as
Authorized official Cruz, Antonio Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2016
Last updated Apr 19th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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