NPI age
2 years
Enumerated 2023-06-12
● Active Type 2 · Organization
Sage Dental Group Of Georgia, Llc
Sage Dental Group Of Georgia, Llc is 1 of 2660 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Roark
Svp & Chief Clinical Officer
Last NPPES update
2023-06-12
Source: monthly bulk 2026-05
How this organization compares
Across 2660 active dentist providers in Georgia.
NPI age
2 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-06Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
3329 Cobb Pkwy Nw Ste 300
Acworth, GA 301018841
Mailing address
6600 Congress Ave Ste 150
Boca Raton, FL 334871213
Authorized official
Cindy Roark, DMD, MS
Svp & Chief Clinical Officer
📞 5619999650
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Dipa Thakkar, D.D.S. Dentist NPI 1194053397
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Sage Dental of Acworth
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.