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Sage Dental of Brandon Pllc

Dentist in Brandon, FL · enumerated 2021 · authorized official Cindy Roark, Svp & Chief Clinical Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417617689

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Registry record

Entity type Organization (Type 2)
Legal business name Sage Dental of Brandon Pllc
Practice address 410 W Bloomingdale Ave, Brandon, FL, 33511
Phone (813) 654-0037
Enumeration date Dec 29, 2021
Last updated in NPPES May 19, 2023

Taxonomy & classification

122300000X Dentist Dental Providers Primary

Authorized official

Name Cindy Roark
Title Svp & Chief Clinical Officer
Phone (561) 999-9650

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-05-19. Verify at npiregistry.cms.hhs.gov.
Where is Sage Dental of Brandon Pllc located?
The practice location on file with NPPES is in Brandon, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-19.