Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1205546231
Sage Dental Of Daytona At Cornerstone, Pllc
Organization Subpart: NO
Active
NPI Number1205546231
NPI TypeNPI-2 Organization
SpecialtyDentist
Provider Details
NPI1205546231
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2022-11-30
Last Updated2023-05-19
Authorized OfficialCindy Roark
SVP & Chief Clinical Officer
Phone: 5619999650
Mailing Address6600 Congress Ave Ste 150
Boca Raton, FL 33487-1213
United States
Phone: (561) 999-9650
📍 View Map
Primary Practice Address1540 Cornerstone Blvd Ste 100
Daytona Beach, FL 32117-7144
United States
Phone: (470) 990-8722
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes122300000X – Dentist--
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About NPI 1205546231

Sage Dental Of Daytona At Cornerstone, Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1205546231. The primary specialty listed is Dentist. The organization is located in Daytona Beach, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2022-11-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1205546231?

NPI 1205546231 belongs to Sage Dental Of Daytona At Cornerstone, Pllc, a Dentist in Daytona Beach, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1205546231 active?

The current status of NPI 1205546231 in the NPPES registry is Active. The record was last updated on 2023-05-19.

What specialty is NPI 1205546231?

NPI 1205546231 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 1205546231?

You can verify NPI 1205546231 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 1205546231?

The primary practice address on file for NPI 1205546231 is 1540 Cornerstone Blvd Ste 100, Daytona Beach, FL 32117-7144. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1205546231 issued?

NPI 1205546231 was first issued (enumerated) on 2022-11-30. The NPPES record was last updated on 2023-05-19.

Practice Location Map

Sage Dental Of Daytona At Cornerstone, Pllc is located at 1540 Cornerstone Blvd Ste 100, Daytona Beach, FL. Use the map below to find directions or verify the practice location.

📍 1540 Cornerstone Blvd Ste 100, Daytona Beach, FL 32117-7144  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Sage Dental Of Daytona At Cornerstone, Pllc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-31 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162