Active NPI
Sage Dental of Hendersonville PLLC
- Dentist
- Hendersonville, TN
National Provider Identifier
1154110898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SAGE DENTAL OF HENDERSONVILLE PLLC
- Practice address
- 305 Indian Lake Blvd Ste 260
Hendersonville, TN 37075-6383 - Phone
- (561) 999-9650
- NPI assigned
- Apr 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cindy Roark, DMD, MS
- Title
- SVP & Chief Clinical Officer
- Phone
- (561) 999-9650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
305 Indian Lake Blvd Ste 260
Hendersonville, TN 37075-6383
Mailing address
PO Box 931622
Atlanta, GA 31193-1622
Phone (561) 999-9650
National Provider Directory
National Provider DirectoryLocations
305 Indian Lake Blvd
Ste 260
Hendersonville, TN 37075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745971200000",
"number": "1154110898",
"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",
"telephone_number": "561-999-9650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 INDIAN LAKE BLVD STE 260",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370756383",
"telephone_number": "561-999-9650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE DENTAL OF HENDERSONVILLE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-30",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"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",
"authorized_official_credential": "DMD, MS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.