Sapphire Dental Group, PC
NPI 1619970076ActiveOrganization· Dentist, General Practice· Missoula, MT
Dentist, General Practice in Missoula, Montana, registered in NPPES in May 2005. The authorized official on file is Shawn D. Modula, General Manager.
Overview
| NPI | 1619970076 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2005 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 2016 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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