SAGE DENTISTRY V PLLC (NPI# 1073034088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073034088 |
| Entity Type | Organization |
| Organization Name | SAGE DENTISTRY V PLLC |
| Other Organization Name | FAMILY AND IMPLANT DENTISTRY OF BELMAR |
| Practice Address |
325 S Teller St Ste 208 Lakewood CO 80226-7388 |
| Practice Telephone | (303) 989-4444 |
| Mailing Telephone | 3039894444 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-07-14 |
| Authorized Official Name | DR. SAGE POLLACK (DOCTOR/OWNER) |
| Authorized Official Telephone | 3039894444 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DEN.00202525 | CO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Family and Implant Dentistry of Belmar | Doing Business As Name - Organization |
| Street Address |
325 S TELLER ST STE 208 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80226-7388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153771 | Kaeley Marie Moffatt | Behavior Technician | 265 Harlan St, Lakewood, CO 80226 | 2020-01-10 |
| 1871130849 | Karla C Lara | Behavior Technician | 265 South Horland, Lakewood, CO 80226 | 2019-12-09 |
| 1063057842 | Nancy Sue Boisture | Physical Therapist | 393 South Harlan Street, Suite 170, Lakewood, CO 80226 | 2019-11-15 |
| 1891338083 | The Rising Sun Senior Home At Belmar Inc. | Assisted Living Facility | 835 S. Flower St, Lakewood, CO 80226 | 2019-10-21 |
| 1689195562 | Amanda Marie Reider | Counselor | 1075 S Yukon St Lakewood #100, Lakewood, CO 80226 | 2017-06-30 |
| 1477092591 | Premere Rehab LLC | Occupational Therapist | 7825 W Alameda Ave, Lakewood, CO 80226 | 2017-02-22 |
| 1477901304 | Abigail L Wegert | Registered Nurse | 8015 W Alameda Ave Ste 260, Lakewood, CO 80226 | 2016-06-01 |
| 1235507724 | Justin Evans | Emergency Medicine | 476 Newland St, Lakewood, CO 80226 | 2015-09-14 |
| 1922475672 | Kingston Dialysis LLC | Clinic/Center | 1057 S Wadsworth Blvd Ste 100, Lakewood, CO 80226 | 2015-08-28 |
| 1457731937 | Terry Cheung | Nurse Practitioner | 7444 W Alaska Drive, Suite #200, Lakewood, CO 80226 | 2015-06-01 |
| Find all providers in zip 80226 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225510126 | N Ozder Dental Practice Inc | Clinic/Center | 5037 Lakewood Blvd, Lakewood, CA 90712 | 2018-09-06 |
| 1912415597 | Lakewood Kids and Adolescent Dentistry | Clinic/Center | 1776 Avenue of The States, Suite 105, Lakewood, NJ 08701 | 2018-01-17 |
| 1023525037 | Ten Family Dentistry | Clinic/Center | 3333 S Wadsworth Blvd Unit 303d, Lakewood, CO 80227-5142 | 2017-12-29 |
| 1013429778 | Grace E. Rudersdorf, Dds, Pllc | Clinic/Center | 11290 W Alameda Ave Ste A-100, Lakewood, CO 80226-2575 | 2017-11-02 |
| 1780065797 | Bear Dental Group Prof. LLC | Clinic/Center | 10815 W Jewell Ave, Suite L, Lakewood, CO 80232-4851 | 2015-06-16 |
| 1790163004 | Associated Dental Professionals | Clinic/Center | 8015 W Alameda Ave Ste 170, Lakewood, CO 80226-3042 | 2015-05-07 |
| 1043576242 | Kt Dental LLC | Clinic/Center | 95 S Sheridan Blvd, Suite C, Lakewood, CO 80226-2445 | 2012-04-02 |
| 1255597530 | Aesthetic Smile Dental Center | Clinic/Center | 3203 Carson St, Suite # 2, Lakewood, CA 90712-4006 | 2008-08-06 |
| 1558475616 | Bruce C Mcarthur, Dds, PC | Clinic/Center | 6565 W Jewell Ave Ste 9, Lakewood, CO 80232-7102 | 2006-08-18 |
| 1710504592 | Lakewood City Center Dental LLC | Clinic/Center | 14865 Detroit Ave, Lakewood, OH 44107-3909 | 2020-06-29 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.