OrganizationActive
Sage Dental of St. Petersburg at 4th Street
NPI 1043190143 · Dentist · St. Petersburg, FL
Provider details
- NPI number
- 1043190143
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Cindy Roark, Svp & Chief Clinical Officer(561) 999-9650
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3303 4th Street N. Suite 200
St. Petersburg, FL 33704
Phone: (561) 999-9650
Street-level locationGet directions
Mailing address
6600 Congress Ave Ste 150
Boca Raton, FL 33487-1213
Registry dates
- Enumerated
- 2025-09-08
- Last updated
- 2025-09-08
- Certified
- 2025-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.