Active NPI
Sage Dental of Spring Hill PLLC
- Dentist
- Spring Hill, FL
National Provider Identifier
1508782160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SAGE DENTAL OF SPRING HILL PLLC
- Practice address
- 11195 County Line Rd
Spring Hill, FL 34609-5615 - Phone
- (561) 999-9650
- NPI assigned
- Jun 27, 2026
- 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
11195 County Line Rd
Spring Hill, FL 34609-5615
Mailing address
6600 Congress Ave Ste 150
Boca Raton, FL 33487-1213
National Provider Directory
National Provider DirectoryLocations
11195 County Line Rd
Spring Hill, FL 34609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782518400000",
"number": "1508782160",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11195 COUNTY LINE RD",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346095615",
"telephone_number": "561-999-9650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE DENTAL OF SPRING HILL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-27",
"last_updated": "2026-06-27",
"certification_date": "2026-06-27",
"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 Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.