Sage Dental Of Mt Dora Pllc

LBN: Sage Dental Of Mt Dora Pllc
Sage Dental Of Mt Dora Pllc is an health care organization with primary practice located at 17435 Us Highway 441 Ste 107 , Mount Dora FL 32757-6750. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Sage Dental Of Mt Dora Pllc can be contacted via phone (561) 999-9650, or through Roark, Cindy via phone (561) 999-9650.

Contact Information

Primary practice address
17435 Us Highway 441 Ste 107 Mount Dora FL 32757-6750
Phone: (561) 999-9650
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roark, Cindy DMD, MS, COO
Phone: (561) 999-9650

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1306412390
LBN Legal business name Sage Dental Of Mt Dora Pllc
DBA Doing business as
Authorized official Roark, Cindy DMD, MS, COO
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2021
Last updated Jun 8th, 2023 - about 2 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.

Request for update

Popular Providers