OrganizationActive
Sage Dental of Jacksonville Southside PLLC
NPI 1710766001 · Dentist · Jacksonville, FL
Sage Dental of Jacksonville Southside PLLC is a Dentist organization in Jacksonville, FL (NPI 1710766001).
Provider details
- NPI number
- 1710766001
- 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(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
4540 Southside Blvd Ste 801
Jacksonville, FL 32216-5490
Phone: (561) 999-9650
Street-level locationGet directions
Mailing address
Po Box 931622
Atlanta, GA 31193-1622
Other names (DBA / former)
- Doing business as
- Sage Dental of Jacksonville Southside PLLC
Registry dates
- Enumerated
- 2023-09-26
- Last updated
- 2023-09-26
- Certified
- 2023-09-26
Frequently asked questions
- What is Sage Dental of Jacksonville Southside PLLC's NPI number?
- Sage Dental of Jacksonville Southside PLLC's National Provider Identifier (NPI) is 1710766001, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sage Dental of Jacksonville Southside PLLC?
- Sage Dental of Jacksonville Southside PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Sage Dental of Jacksonville Southside PLLC located?
- Sage Dental of Jacksonville Southside PLLC's practice location on file with NPPES is 4540 Southside Blvd Ste 801, Jacksonville, FL 32216-5490.
- What is Sage Dental of Jacksonville Southside PLLC's phone number?
- The practice phone number listed in the NPPES registry for Sage Dental of Jacksonville Southside PLLC is (561) 999-9650.
- Who is the authorized official for Sage Dental of Jacksonville Southside PLLC?
- The authorized official listed on Sage Dental of Jacksonville Southside 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 Jacksonville Southside PLLC's NPI active?
- Yes — Sage Dental of Jacksonville Southside PLLC's NPI (1710766001) is active in the NPPES registry as of the last update on 2023-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.