Sage Dental Group of Georgia, LLC
NPI 1528779121ActiveOrganization· Dentist· Gainesville, GA
Dentist in Gainesville, Georgia, registered in NPPES in December 2022. The authorized official on file is Cindy Roark, DMD, MS, Svp & Chief Clinical Officer.
Overview
| NPI | 1528779121 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 6, 2022 |
| Last updated in NPPES | May 30, 2023 |
| Certified by provider | May 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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