Missoula Dental, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MISSOULA DENTAL, PC

Practice address

690 SW Higgins Ave Ste H
Missoula, MT 59803-1433

Phone

(406) 543-3149

Fax

(406) 543-3150

NPI assigned

Aug 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Cory Darrell Sager, DMD

Title

Owner

Phone

(406) 579-5998

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1952076820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W JEFFERSON AVE STE A",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597144419",
            "telephone_number": "406-388-3005",
            "fax_number": "406-388-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 SW HIGGINS AVE STE H",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031433",
            "telephone_number": "406-543-3149",
            "fax_number": "406-543-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOULA DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "SAGER",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "DARRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-579-5998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Missoula County Public Schools
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• Dentist in Missoula, MT
• Providers in Missoula, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.