Organization
SAGE DENTAL GROUP OF GEORGIA, LLC
Active
Other names
Sage Dental of North Cumming
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL NITTINGER (DIRECTOR, PROVIDER CREDENTIALING)
(561) 999-9650
Entity
Organization
Contact information
Practice address
5310 MATT HWY STE 305, CUMMING, GA 30028-8627
(561) 999-9650
Mailing address
951 BROKEN SOUND PKWY NW STE 250, BOCA RATON, FL 33487-3506
(561) 999-9650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
08/05/2022
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