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Organization
SAGE FAMILY DENTAL PLLC
Active
Organization
SAGE FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KACY PHILLIPS (CREDENTIALING COORDINATOR)
(918) 381-5229
Entity
Organization
Contact information
Practice address
5424 S MEMORIAL DR, TULSA, OK 74145-9003
(918) 280-0880
Mailing address
5424 S MEMORIAL DR STE C3, TULSA, OK 74145-9003
(918) 280-0880
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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