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Sage Dentisty III PLLC

NPI 1194242206ActiveOrganization· Dentist· Boulder, CO

Dentist in Boulder, Colorado, registered in NPPES in August 2017. The authorized official on file is Sage E. Pollack, DMD, Owner.

Overview

NPI1194242206
StatusActive
Entity typeOrganization
NPI issuedAug 29, 2017
Last updated in NPPESJul 21, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000XDEN.00202525—

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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