Provider Demographics
NPI:1891256533
Name:SAGE DENTISTRY VII PLLC
Entity Type:Organization
Organization Name:SAGE DENTISTRY VII PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAGE
Authorized Official - Middle Name:E
Authorized Official - Last Name:POLLACK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:303-720-6014
Mailing Address - Street 1:3737 E 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-7510
Mailing Address - Country:US
Mailing Address - Phone:720-923-6014
Mailing Address - Fax:303-223-9369
Practice Address - Street 1:3737 E 1ST AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-7510
Practice Address - Country:US
Practice Address - Phone:720-923-6014
Practice Address - Fax:303-223-9369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-26
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental