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Sage Dental of Titusville, PLLC

NPI 1508564154ActiveOrganization· Dentist· Titusville, FL

Dentist in Titusville, Florida, registered in NPPES in February 2023. The authorized official on file is Cindy Roark, DMD, MS, Svp & Chief Clinical Officer.

Overview

NPI1508564154
StatusActive
Entity typeOrganization
NPI issuedFeb 22, 2023
Last updated in NPPESFeb 22, 2023
Certified by providerFeb 20, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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

Other dentists in Titusville

All 31 dentists in Titusville · All dentists in Florida