SAGE DENTAL GROUP OF GEORGIA, LLC (NPI# 1770012445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770012445 |
| Entity Type | Organization |
| Organization Name | SAGE DENTAL GROUP OF GEORGIA, LLC |
| Other Organization Name | SAGE DENTAL OF ROSWELL |
| Practice Address |
10800 Alpharetta Hwy Ste 180 Roswell GA 30076-1463 |
| Practice Telephone | (470) 299-1955 |
| Practice Fax Number | 5614318169 |
| Mailing Telephone | 4702991955 |
| Mailing Fax Number | 5614318169 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2018-02-20 |
| Authorized Official Name | JONATHAN CHANG (CHIEF DENTAL DIRECTOR) |
| Authorized Official Telephone | 5619999650 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Sage Dental of Roswell | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508398447 | Sage Dental Group of Georgia, LLC | Dentist | 3410 Buford Dr, E-780, Buford, GA 30519-4900 | 2017-03-30 |
| 1114459054 | Sage Dental Group of Georgia, LLC | Dentist | 3429 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2433 | 2017-03-30 |
| 1487191649 | Sage Dental Group of Georgia, LLC | Dentist | 11160 Medlock Bridge Rd, Suite 120, Duluth, GA 30097-2590 | 2017-01-26 |
| Street Address |
10800 ALPHARETTA HWY STE 180 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-1463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A 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 degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326546284 | Osarobo Ehigiator | Dentist | 4511 N Main St Ste B, Roswell, NM 88201-0309 | 2018-01-25 |
| 1821543182 | Michael Sanders | Dentist | 100 Roswell Farms Ct, Roswell, GA 30075-4308 | 2016-08-16 |
| 1053761767 | Anne Koenig | Dentist | 380 Market Pl Ste 200, Roswell, GA 30075-3943 | 2016-06-14 |
| 1669834594 | Zacharia Kashlan | Dentist | 385 Saddle Creek Dr, Roswell, GA 30076-1083 | 2016-03-21 |
| 1407214752 | Georgi Zohrabyan | Dentist | 270 Spring Ridge Trce, Roswell, GA 30076-2647 | 2016-02-02 |
| 1790164911 | Good Dental Care LLC | Dentist | 910 Woodstock Rd, Ste 110, Roswell, GA 30075-8217 | 2015-05-20 |
| 1629497086 | Keon J Ahghar | Dentist | 824 N Main St, Roswell, NM 88201-4969 | 2014-04-14 |
| 1316201825 | Charles Edward Kirby | Dentist | 1875 Old Alabama Rd Ste 130, Roswell, GA 30076-2262 | 2012-06-28 |
| 1194098723 | Brian Potocki | Dentist | 3751 N Main St, Suite D, Roswell, NM 88201-0300 | 2012-02-13 |
| 1710271226 | David M Brown | Dentist | 114 E 4th St Ste 100, Roswell, NM 88201-6283 | 2011-06-01 |
| Find all providers in ROSWELL | ||||
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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.