Sage Dental of Daytona at Beach Street, PLLC
NPI 1780394718ActiveOrganization· Dentist· Daytona Beach, FL
Dentist in Daytona Beach, Florida, registered in NPPES in November 2022. The authorized official on file is Cindy Roark, DMD, MS, Svp & Chief Clinical Officer.
Overview
| NPI | 1780394718 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 30, 2022 |
| Last updated in NPPES | May 19, 2023 |
| Certified by provider | May 19, 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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