# SAGE DENTAL OF MOUNT PLEASANT, PLLC

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

## Provider details

- **NPI number:** 1942047410
- **Authorized official:** CINDY ROARK DMD, MS (SVP & CHIEF CLINICAL OFFICER)
- **Authorized official phone:** (561) 999-9650

## Contact information

- **Practice address:** 1135 MUHLENBERGIA DR STE 101, MOUNT PLEASANT, SC 29466-8405
- **Practice address phone:** (561) 999-9650
- **Mailing address:** 6600 CONGRESS AVE STE 150, BOCA RATON, FL 33487-1213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2024
- **Last updated:** 07/11/2024