Sage Dental of Wellington, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN6483 Issued in FL

Legal business name

SAGE DENTAL OF WELLINGTON, P.A.

Practice address

13889 Wellington Trce
Suite a-5
Wellington, FL 33414-2121

Phone

(561) 795-8900

Fax

(561) 431-8169

NPI assigned

Jun 21, 2007

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 2

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

• Zakiya Charlassier, D.M.D.

  • Dentist
  • Wellington, FL
  • NPI 1063141620
  NPD (past)
• Elsbeth Jahne Harris

  • Dental Hygienist
  • Wellington, FL
  • NPI 1902748718
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1740485473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 BROKEN SOUND PKWY",
            "address_2": "SUITE 250",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33487",
            "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": "13889 WELLINGTON TRCE",
            "address_2": "SUITE A-5",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334142121",
            "telephone_number": "561-795-8900",
            "fax_number": "561-431-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE DENTAL OF WELLINGTON, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2017-04-19",
        "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": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN6483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Florencia Sabugo, LCSW
• Krysten Saccocio, PT, DPT
• Maya Sachs
• Steven R Sacks, D.O.
• Aboulghasem Sadati, DDS
• Karthikeyan Sai, MD
• Lila Saidian, M.D.
• Jennifer Sala, APRN, PMHNP
• Yisell Salazar Colon
• Sarah Rose Candreva Sale, P.T., DPT

• General Practice Dentistry in Wellington, FL
• Providers in Wellington, FL by specialty
• General Practice Dentistry in Florida

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