| Blue Sky Dental Llc | |
|
2430 S 73rd St Suite 202 Omaha NE 68124-2397 | |
| (402) 991-9423 | |
| (402) 991-9890 |
| Full Name | Blue Sky Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2430 S 73rd St, Omaha, Nebraska |
| Authorized Official Name and Position | Holly F Swirczek (OWNER) |
| Authorized Official Contact | 4029919423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sky Dental Llc 2430 S 73rd St Suite 202 Omaha NE 68124-2397 Ph: (402) 991-9423 | Blue Sky Dental Llc 2430 S 73rd St Suite 202 Omaha NE 68124-2397 Ph: (402) 991-9423 |
| NPI Number | 1063822401 |
|---|---|
| Provider Enumeration Date | 05/07/2014 |
| Last Update Date | 05/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063822401 | NPI | - | NPPES |
| 10025997800 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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