OrganizationActive
Sage Dental of Brandon PLLC
NPI 1417617689 · Dentist · Brandon, FL
Sage Dental of Brandon PLLC is a Dentist organization in Brandon, FL (NPI 1417617689).
Provider details
- NPI number
- 1417617689
- 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(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
410 W Bloomingdale Ave
Brandon, FL 33511-7402
Phone: (813) 654-0037
Street-level locationGet directions
Mailing address
6600 Congress Ave Ste 150
Boca Raton, FL 33487-1213
Registry dates
- Enumerated
- 2021-12-29
- Last updated
- 2023-05-19
- Certified
- 2023-05-19
Frequently asked questions
- What is Sage Dental of Brandon PLLC's NPI number?
- Sage Dental of Brandon PLLC's National Provider Identifier (NPI) is 1417617689, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sage Dental of Brandon PLLC?
- Sage Dental of Brandon PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Sage Dental of Brandon PLLC located?
- Sage Dental of Brandon PLLC's practice location on file with NPPES is 410 W Bloomingdale Ave, Brandon, FL 33511-7402.
- What is Sage Dental of Brandon PLLC's phone number?
- The practice phone number listed in the NPPES registry for Sage Dental of Brandon PLLC is (813) 654-0037.
- Who is the authorized official for Sage Dental of Brandon PLLC?
- The authorized official listed on Sage Dental of Brandon PLLC's NPPES record is Cindy Roark, Svp & Chief Clinical Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sage Dental of Brandon PLLC's NPI active?
- Yes — Sage Dental of Brandon PLLC's NPI (1417617689) is active in the NPPES registry as of the last update on 2023-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.