BLUESKY DENTAL
NPI 1073808333
Dentist - General Practice in Moscow, ID

Active since June 15, 2011
2500 W A ST STE 204, MOSCOW, ID 83843(208) 882-9111(208) 882-3279 Get Directions Write a Review

NPPES record last updated: June 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bluesky Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUESKY DENTAL (NPI 1073808333) is a healthcare organization registered as a general practice in Moscow, Idaho and active in the NPI registry since June 2011. The organization lists Kevin C Henry, Owner, as its authorized official.

NPPES Registry Identity

NPI1073808333
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBLUESKY DENTAL
Location Address2500 W A ST STE 204Moscow, ID 83843-6000
Mailing Address2500 W A St Ste 204Moscow, ID 83843-6000 · (208) 882-9111 · Fax (208) 882-3279
Fax(208) 882-3279
Organization SubpartNo
Authorized OfficialKevin C HenryOwner · (208) 882-9111
Enumeration DateJune 15, 2011
NPI 1073808333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in ID · D3597
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2500 W A ST STE 204, Moscow, ID 83843

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
2500 W A ST STE 204
MOSCOW, ID 83843

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bluesky Dental's NPI number?

The NPI number for Bluesky Dental is 1073808333. It was assigned to this organization in the NPPES registry on June 15, 2011.

Where is Bluesky Dental located?

Bluesky Dental is located at 2500 W A St Ste 204, Moscow, ID 83843. The listed phone number is (208) 882-9111.

What is Bluesky Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Bluesky Dental accept?

Health plans from UnitedHealthcare list Bluesky Dental as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bluesky Dental was last updated on June 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.