Sage Dental of Boynton Beach, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN6483 Issued in FL

Legal business name

SAGE DENTAL OF BOYNTON BEACH, P.A.

Practice address

6626 Hypoluxo Rd
Suite a-1
Lake Worth, FL 33467-7676

Phone

(561) 433-9600

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 3

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

• Christopher James Bedoya, D.D.S.

  • General Practice Dentistry
  • Lake Worth, FL
  • NPI 1104350503
  NPD (past)
• Ellys R. Fernandez Mejia, DDS

  • General Practice Dentistry
  • Palm Springs, FL
  • NPI 1093159923
  NPD (past)
• Avery Michael Harrison, DMD

  • General Practice Dentistry
  • Lake Worth, FL
  • NPI 1669361150
  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": "1487894400000",
    "number": "1790980415",
    "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": "6626 HYPOLUXO RD",
            "address_2": "SUITE A-1",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677676",
            "telephone_number": "561-433-9600",
            "fax_number": "561-431-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE DENTAL OF BOYNTON BEACH, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2017-02-24",
        "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": []
}

• S & M Medical Group Inc
• Howard Neil Sabarra, M.D. , P.A.
• Sachs Dental Center
• Randy Jay Sachs, DMD
• Christine N Sadecki, OTR
• Sage Dental of Lake Worth, P.a.
• Sage Dental of West Lake Worth PLLC
• Wesly Saintlouis
• Irwine Sainvil, D.D.S.
• Soha Salami-Herrera, PHARM D, RPH

• General Practice Dentistry in Lake Worth, FL
• Providers in Lake Worth, 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 Feb 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.