SAGE DENTAL GROUP OF GEORGIA, LLC (NPI# 1114459054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114459054 |
| Entity Type | Organization |
| Organization Name | SAGE DENTAL GROUP OF GEORGIA, LLC |
| Other Organization Name | SAGE DENTAL OF SUWANEE |
| Practice Address |
3429 Lawrenceville Suwanee Rd Suwanee GA 30024-2433 |
| Practice Telephone | 6787659133 |
| Practice Fax Number | 5614318169 |
| Mailing Telephone | 6787659133 |
| Mailing Fax Number | 5614318169 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2018-02-20 |
| Authorized Official Name | JONATHAN CHANG (CHIEF DENTAL DIRECTOR) |
| Authorized Official Telephone | 6787659133 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Sage Dental of Suwanee | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770012445 | Sage Dental Group of Georgia, LLC | Dentist | 10800 Alpharetta Hwy Ste 180, Roswell, GA 30076-1463 | 2017-06-07 |
| 1508398447 | Sage Dental Group of Georgia, LLC | Dentist | 3410 Buford Dr, E-780, Buford, GA 30519-4900 | 2017-03-30 |
| 1487191649 | Sage Dental Group of Georgia, LLC | Dentist | 11160 Medlock Bridge Rd, Suite 120, Duluth, GA 30097-2590 | 2017-01-26 |
| Street Address |
3429 LAWRENCEVILLE SUWANEE RD |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
| Find all providers in zip 30024 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037800 | Darby Kathryn Gentry | Dentist | 3585 Lawrenceville Suwanee Rd # 101-a, Suwanee, GA 30024-7058 | 2020-09-10 |
| 1215411897 | Town Center Dental LLC | Dentist | 425 Buford Hwy Ste 101, Suwanee, GA 30024-2692 | 2018-09-20 |
| 1023419157 | Sehee Jenny Kim | Dentist | 1120 Peachtree Industrial Blvd Ste 203, Suwanee, GA 30024-2013 | 2014-09-08 |
| 1053578369 | Sung-oh Kim | Dentist | 3651 Peachtree Pkwy Ste L, Suwanee, GA 30024-1089 | 2008-05-22 |
| 1659557411 | David Peter Hayward | Dentist | 4355 Suwanee Dam Rd., Suwanee, GA 30024-6705 | 2008-01-11 |
| 1295875656 | Dr Michael Reznik Dds and Michael Baine Dmd | Dentist | 3921 Johns Court, Suite A, Suwanee, GA 30024 | 2007-02-07 |
| 1124186762 | Ryan M Schwendiman | Dentist | 4330 Johns Creek Pkwy Ste 100, Suwanee, GA 30024-6121 | 2006-12-05 |
| 1770689119 | Imagix 3 Dental | Dentist | 350 Town Center Ave, 301, Suwanee, GA 30024 | 2006-09-15 |
| 1073521050 | Robert S Israel | Dentist | 1230 Satellite Blvd Nw, St 100, Suwanee, GA 30024-3212 | 2006-08-04 |
| 1427066216 | Tina Herington | Dentist | 2566 Lawrenceville Suwanee Rd, Suite A, Suwanee, GA 30024-2537 | 2006-08-04 |
| Find all providers in SUWANEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.