# SAGE FAMILY DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518897040
- **Authorized official:** KACY PHILLIPS (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (918) 381-5229

## Contact information

- **Practice address:** 5424 S MEMORIAL DR, TULSA, OK 74145-9003
- **Practice address phone:** (918) 280-0880
- **Mailing address:** 5424 S MEMORIAL DR STE C3, TULSA, OK 74145-9003
- **Mailing address phone:** (918) 280-0880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/19/2026
- **Last updated:** 05/19/2026