Annette Dusseau, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2016 Issued in MT

Practice address

Sapphire Dental Group, PC
2901 Brooks St.
Missoula, MT 59801

Phone

(406) 541-2886

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669420800000",
    "number": "1700097805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAPPHIRE DENTAL GROUP, PC",
            "address_2": "2901 BROOKS ST.",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59801",
            "telephone_number": "406-541-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAPPHIRE DENTAL GROUP, PC",
            "address_2": "2901 BROOKS ST.",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59801",
            "telephone_number": "406-541-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSSEAU",
        "first_name": "ANNETTE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2022-11-26",
        "certification_date": "2022-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11-1333",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Dupre, DPT
• Lauren Dupuis
• Catherine Durand, RN
• Timothy James Durkin, DO
• Daniel James Durvin
• Shauna Dutton, LMT
• Dylan Claxton, LCSW, PLLC
• Kyle Dyrud
• Conor Dysinger, FNP-C
• Kendall Earle

• General Practice Dentistry in Missoula, MT
• Providers in Missoula, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.