# MISSOULA DENTAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952076820
- **Authorized official:** DR. CORY DARRELL SAGER DMD (OWNER)
- **Authorized official phone:** (406) 579-5998

## Contact information

- **Practice address:** 690 SW HIGGINS AVE STE H, MISSOULA, MT 59803-1433
- **Practice address phone:** (406) 543-3149
- **Practice address fax:** (406) 543-3150
- **Mailing address:** 103 W JEFFERSON AVE STE A, BELGRADE, MT 59714-4419
- **Mailing address phone:** (406) 388-3005
- **Mailing address fax:** (406) 388-4265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2021
- **Last updated:** 08/12/2021