Sage Dental Villages at Colony Plaza PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SAGE DENTAL VILLAGES AT COLONY PLAZA PLLC

Practice address

339 Colony Blvd
The Villages, FL 32162-6084

Phone

(561) 999-9650

NPI assigned

Sep 25, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cindy Roark

Title

SVP & Chief Clinical Officer

Phone

(561) 999-9650

Specialties & licenses 1

Addresses

Other names 1

• Sage Dental Villages At Colony Plaza PLLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1104605518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931622",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 COLONY BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321626084",
            "telephone_number": "561-999-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE DENTAL VILLAGES AT COLONY PLAZA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "ROARK",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "SVP & CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "561-999-9650"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Dental Villages At Colony Plaza PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latifah Sabree, MD
• Ibrahim Ebada Sadek, M.D.
• Kailee Sadvary, PT, DPT
• Tyler Sadvary
• Safer at Home LLC
• Sage Dental Villages at Warm Springs, PLLC
• Peggy A. Salazar
• Jamie Saltmarsh
• Brian Harris Saluck, DO
• Peter Jean Salzer, LCSW

• Dentist in The Villages, FL
• Providers in The Villages, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.