OrganizationSage Dental Of Jensen Beach, PllcDentistDental ProvidersPractice Address2835 NW Federal Hwy, Stuart, FL 34994-9252(772) 405-6100(561) 999-9650PECOS EnrollmentBased on the most recent information from CMS, provider Sage Dental Of Jensen Beach, Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1629319314Provider TypeOrganizationFull NameSage Dental Of Jensen Beach, PllcSubpartNoEnumeration Date3/6/2013Last Updated2/24/2017Contact InformationPractice LocationPractice Address2835 NW Federal Hwy, Stuart, FL 34994-9252Phone(772) 405-6100Fax(561) 431-8169Mailing LocationMailing Address951 Broken Sound Pkwy, Suite 250, Boca Raton, FL 33487Phone(561) 999-9650Fax(561) 431-8169Authorized OfficialNameCruz, Antonio (Chief Dental Director)Phone(561) 999-9650Provider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicenseDN6483Florida