Sage Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SAGE FAMILY DENTAL

Doing business as

Sage Family Dental

Practice address

114 Washington Street
Dorchester, MA 02121

Phone

(617) 446-3998

NPI assigned

Apr 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Sheina Jean-Marie, DMD

Title

President

Phone

(617) 446-3998

Specialties & licenses 1

Addresses

Other names 1

• Sage Family Dental Doing business as

Locations

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1134652175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WASHINGTON STREET",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WASHINGTON STREET",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02121",
            "telephone_number": "617-446-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "JEAN-MARIE",
        "authorized_official_first_name": "SHEINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-446-3998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mallika Sabharwal, MD
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• John Sacco, LICSW
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• Josephine Saint Cyr Saieh
• Judith Saintcyr

• General Practice Dentistry in Dorchester, MA
• Providers in Dorchester, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.