# SAGE DENTAL GROUP OF GEORGIA, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Sage Dental of North Cumming
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982369542
- **Authorized official:** RACHEL NITTINGER (DIRECTOR, PROVIDER CREDENTIALING)
- **Authorized official phone:** (561) 999-9650

## Contact information

- **Practice address:** 5310 MATT HWY STE 305, CUMMING, GA 30028-8627
- **Practice address phone:** (561) 999-9650
- **Mailing address:** 951 BROKEN SOUND PKWY NW STE 250, BOCA RATON, FL 33487-3506
- **Mailing address phone:** (561) 999-9650

## Taxonomy

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

## Other

- **Enumeration date:** 11/08/2021
- **Last updated:** 08/05/2022