| Blue Skies Dental Llc | |
|
4201 Anderson Ave Ste A Manhattan KS 66503-7601 | |
| (785) 537-4337 | |
| Not Available |
| Full Name | Blue Skies Dental Llc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 4201 Anderson Ave, Manhattan, Kansas |
| Authorized Official Name and Position | Travis Ray Wymer (OWNER) |
| Authorized Official Contact | 7853920770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Skies Dental Llc 3863 Hayovel Pl Manhattan KS 66503-8529 Ph: (785) 392-0770 | Blue Skies Dental Llc 4201 Anderson Ave Ste A Manhattan KS 66503-7601 Ph: (785) 537-4337 |
| NPI Number | 1225748049 |
|---|---|
| Provider Enumeration Date | 12/02/2022 |
| Last Update Date | 04/27/2023 |
| Medicare PECOS PAC ID | 5799150116 |
|---|---|
| Medicare Enrollment ID | O20230417000809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225748049 | NPI | - | NPPES |
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