Sage Dental of Port St Lucie West, PLLC
NPI 1205193539ActiveOrganization· Dentist· Port St Lucie, FL
Dentist in Port St Lucie, Florida, registered in NPPES in April 2012. The authorized official on file is Antonio Cruz, DMD, Chief Dental Director.
Overview
| NPI | 1205193539 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2012 |
| Last updated in NPPES | Apr 19, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DN6483 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
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