Sage Dental of Mt Dora PLLC
NPI 1306412390ActiveOrganization· Dentist· Mount Dora, FL
Dentist in Mount Dora, Florida, registered in NPPES in June 2021. The authorized official on file is Cindy Roark, DMD, MS, COO, President.
Overview
| NPI | 1306412390 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 1, 2021 |
| 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 |
|---|
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