Sage Dental of Conway PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SAGE DENTAL OF CONWAY PLLC

Practice address

4441 Hoffner Ave
Belle Isle, FL 32812-2331

Phone

(407) 218-4744

Fax

(561) 431-8169

NPI assigned

Jul 30, 2015

Organization subpart

No

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

Authorized official

Name

Antonio Cruz, DMD

Title

Chief Dental Director

Phone

(561) 999-9650

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rumaisa Altayib

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1912429309
  NPD (past)
• Gabriela Andreina Romero Salinas, DDS

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1972160463
  NPD (past)
• Joseph Antoine Wakim, DDS

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1568001303
  NPD (past)
• Shin Joseph Kim, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Camp Pendleton, CA
  • NPI 1154645661
  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1295110302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 CONGRESS AVE STE 150",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871213",
            "telephone_number": "561-999-9650",
            "fax_number": "561-431-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 HOFFNER AVE",
            "city": "BELLE ISLE",
            "state": "FL",
            "postal_code": "328122331",
            "telephone_number": "407-218-4744",
            "fax_number": "561-431-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE DENTAL OF CONWAY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "CHIEF DENTAL DIRECTOR",
        "authorized_official_telephone_number": "561-999-9650",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jean Pommier, MS, MH16231
• Rabco Medical, LLC
• Emily Riggs
• Ronnie E Suggs DPM PA
• Justin D Russell
• Franchasca Marie Sambula
• Amanda Dolores Someillan, BA
• Amy Stango
• Ronnie Eugene Suggs, DPM
• Swan at Lake Conway

• Dentist in Belle Isle, FL
• Providers in Belle Isle, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.