Sage Dental of Reunion Village
NPI 1003566753ActiveOrganization· Dentist· Davenport, FL
Dentist in Davenport, Florida, registered in NPPES in March 2022. The authorized official on file is Cindy Roark, DMD, MS, Svp & Chief Clinical Officer.
Overview
| NPI | 1003566753 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2022 |
| Last updated in NPPES | Jun 8, 2023 |
| Certified by provider | Jun 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist providers in Davenport
- 1932098365
- 1356074181
- 1568005999
- 1073381521
- 1205637824
- 1619665353
- 1689564775
- 1043986359
- 1174438717
- 1467184671
- 1821650375
- 1841175262