FAMILY DENTAL GROUP
NPI 1619970076
Dentist - General Practice in Missoula, MT

Q: What is Sapphire Dental Group, PC's NPI number?

The NPI number for Sapphire Dental Group, PC is 1619970076. It was assigned to this organization in the NPPES registry on May 31, 2005. The provider is doing business as Family Dental Group.

Q: What is Sapphire Dental Group, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since May 31, 2005

FAMILY DENTAL GROUP, 2901 BROOKS ST., MISSOULA, MT 59801(406) 541-2886(406) 541-2889 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Family Dental Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY DENTAL GROUP (NPI 1619970076) is a healthcare organization registered as a general practice in Missoula, Montana and active in the NPI registry since May 2005. The organization lists Shawn D. Modula, General Manager, as its authorized official.

NPPES Registry Identity

NPI1619970076

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSAPPHIRE DENTAL GROUP, PC

Location AddressFAMILY DENTAL GROUP, 2901 BROOKS ST.Missoula, MT 59801-7722

Mailing AddressFamily Dental Group, 2901 Brooks St.Missoula, MT 59801-7722 · (406) 541-2886 · Fax (406) 541-2889

Phone(406) 541-2886

Fax(406) 541-2889

Organization SubpartNo

Authorized OfficialShawn D. ModulaGeneral Manager · (406) 541-2889

Enumeration DateMay 31, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1619970076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MT · 2016

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

FAMILY DENTAL GROUP, Missoula, MT 59801

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Other Names 1

Doing Business AsFamily Dental Group

Other Identifiers 2

Other0000020164MT · Blue Cross Blue Shield

Medicaid5510771MT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sapphire Dental Group, PC's NPI number?

The NPI number for Sapphire Dental Group, PC is 1619970076. It was assigned to this organization in the NPPES registry on May 31, 2005. The provider is doing business as Family Dental Group.

Where is Sapphire Dental Group, PC located?

Sapphire Dental Group, PC is located at Family Dental Group 2901 Brooks St., Missoula, MT 59801. The listed phone number is (406) 541-2886.

What is Sapphire Dental Group, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Sapphire Dental Group, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.