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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