OrganizationActive
Sage Dental of Port St Lucie West, PLLC
NPI 1205193539 · Dentist · Port St Lucie, FL
Sage Dental of Port St Lucie West, PLLC is a Dentist organization in Port St Lucie, FL (NPI 1205193539).
Provider details
- NPI number
- 1205193539
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Antonio Cruz, Chief Dental Director(561) 999-9650
- License
- DN6483 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
1722 Sw Saint Lucie West Blvd
Port St Lucie, FL 34986-2504
Phone: (772) 337-8600
Fax: (561) 431-8169
Approximate (ZIP-level) locationGet directions
Mailing address
951 Broken Sound Pkwy
Boca Raton, FL 33487
Registry dates
- Enumerated
- 2012-04-11
- Last updated
- 2017-04-19
Frequently asked questions
- What is Sage Dental of Port St Lucie West, PLLC's NPI number?
- Sage Dental of Port St Lucie West, PLLC's National Provider Identifier (NPI) is 1205193539, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sage Dental of Port St Lucie West, PLLC?
- Sage Dental of Port St Lucie West, PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Sage Dental of Port St Lucie West, PLLC located?
- Sage Dental of Port St Lucie West, PLLC's practice location on file with NPPES is 1722 Sw Saint Lucie West Blvd, Port St Lucie, FL 34986-2504.
- What is Sage Dental of Port St Lucie West, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Sage Dental of Port St Lucie West, PLLC is (772) 337-8600.
- Who is the authorized official for Sage Dental of Port St Lucie West, PLLC?
- The authorized official listed on Sage Dental of Port St Lucie West, PLLC's NPPES record is Antonio Cruz, Chief Dental Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sage Dental of Port St Lucie West, PLLC's NPI active?
- Yes — Sage Dental of Port St Lucie West, PLLC's NPI (1205193539) is active in the NPPES registry as of the last update on 2017-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.