Family Dental Group

LBN: Sapphire Dental Group, Pc
Family Dental Group is an health care organization with primary practice located at Family Dental Group 2901 Brooks St., Missoula MT 59801-7722. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Sapphire Dental Group, Pc can be contacted via phone (406) 541-2886, or through Modula, Shawn D. via phone (406) 541-2889.

Contact Information

Primary practice address
Family Dental Group 2901 Brooks St. Missoula MT 59801-7722
Phone: (406) 541-2886
Fax: (406) 541-2889
Website:
Map and Directions
Authorized official contact:
Name: Modula, Shawn D.
Phone: (406) 541-2889

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2016 Montana

Profile Details

NPI number 1619970076
LBN Legal business name Sapphire Dental Group, Pc
DBA Doing business as Family Dental Group
Authorized official Modula, Shawn D.
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619970076 NPPES
Montana MEDICAID 5510771
Montana Other 0000020164

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