| NPI | 1003566753 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2022-03-25 |
| Last Updated | 2023-06-08 |
| Authorized Official | Cindy Roark SVP & CHIEF CLINICAL OFFICER Phone: 5619999650 |
| Mailing Address | 6600 Congress Ave Ste 150 Boca Raton, FL 33487-1213 United States Phone: (561) 999-9650 📍 View Map |
| Primary Practice Address | 7975 Osceola Polk Line Rd Davenport, FL 33896-9104 United States Phone: (863) 265-6182 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 122300000X – Dentist | — | — |
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About NPI 1003566753
Sage Dental Of Reunion Village is an organization registered in the CMS NPPES NPI Registry with NPI number 1003566753. The primary specialty listed is Dentist. The organization is located in Davenport, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2022-03-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1003566753?
NPI 1003566753 belongs to Sage Dental Of Reunion Village, a Dentist in Davenport, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1003566753 active?
The current status of NPI 1003566753 in the NPPES registry is Active. The record was last updated on 2023-06-08.
What specialty is NPI 1003566753?
NPI 1003566753 is classified under the taxonomy Dentist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1003566753?
You can verify NPI 1003566753 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1003566753?
The primary practice address on file for NPI 1003566753 is 7975 Osceola Polk Line Rd, Davenport, FL 33896-9104. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1003566753 issued?
NPI 1003566753 was first issued (enumerated) on 2022-03-25. The NPPES record was last updated on 2023-06-08.
Practice Location Map
Sage Dental Of Reunion Village is located at 7975 Osceola Polk Line Rd, Davenport, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Sage Dental Of Reunion Village. All records sourced from the CMS NPPES registry.