OrganizationActive
Sage Dental Group of Georgia LLC
NPI 1164956157 · Dentist · Tucker, GA
Sage Dental Group of Georgia LLC is a Dentist organization in Tucker, GA (NPI 1164956157).
Provider details
- NPI number
- 1164956157
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jonathan Chang, Chief Dental Director(561) 999-9650
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES 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
4320 Lavista Rd
Suite C119
Tucker, GA 30084
Phone: (678) 688-4811
Fax: (561) 431-8169
Street-level locationGet directions
Mailing address
6600 Congress Ave Ste 150
Boca Raton, FL 33487-1213
Registry dates
- Enumerated
- 2017-04-17
- Last updated
- 2023-05-18
- Certified
- 2023-05-18
Frequently asked questions
- What is Sage Dental Group of Georgia LLC's NPI number?
- Sage Dental Group of Georgia LLC's National Provider Identifier (NPI) is 1164956157, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sage Dental Group of Georgia LLC?
- Sage Dental Group of Georgia LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Sage Dental Group of Georgia LLC located?
- Sage Dental Group of Georgia LLC's practice location on file with NPPES is 4320 Lavista Rd, Tucker, GA 30084.
- What is Sage Dental Group of Georgia LLC's phone number?
- The practice phone number listed in the NPPES registry for Sage Dental Group of Georgia LLC is (678) 688-4811.
- Who is the authorized official for Sage Dental Group of Georgia LLC?
- The authorized official listed on Sage Dental Group of Georgia LLC's NPPES record is Jonathan Chang, Chief Dental Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sage Dental Group of Georgia LLC's NPI active?
- Yes — Sage Dental Group of Georgia LLC's NPI (1164956157) is active in the NPPES registry as of the last update on 2023-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.