Sapphire Dental Group, PC

NPI #1619970076 in Missoula, Montana

Provider Information

NPI Number: 1619970076
Entity Type: Organization
Organization Name: Sapphire Dental Group, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 31, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: FAMILY DENTAL GROUP
Address 2: 2901 BROOKS ST.
City: Missoula
State: Montana
ZIP Code: 59801-7722
Phone: (406) 541-2886

Authorized Official

Name: MR. SHAWN D. MODULA
Title: GENERAL MANAGER
Phone: (406) 541-2889

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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