BLUE CEDAR DENTISTRY LLC
NPI 1528635919
Clinic/Center - Dental in Bolivar, MO

Active since June 05, 2021
121 N MAIN AVE, BOLIVAR, MO 65613(702) 283-8421 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 7, 2021, Jun 5, 2021 (2 updates tracked since 2021).

About Blue Cedar Dentistry Llc NPPES

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

BLUE CEDAR DENTISTRY LLC (NPI 1528635919) is a healthcare organization registered as a dental in Bolivar, Missouri and active in the NPI registry since June 2021. The organization lists Nathan Bowen, Owner, as its authorized official.

NPPES Registry Identity

NPI1528635919
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBLUE CEDAR DENTISTRY LLC
Location Address121 N MAIN AVEBolivar, MO 65613-1517
Mailing Address121 N Main AveBolivar, MO 65613-1517
Organization SubpartNo
Authorized OfficialNathan BowenOwner · (702) 283-8421
Enumeration DateJune 5, 2021
Last NPPES UpdateJune 7, 20212 updates tracked since enumeration
NPPES CertifiedJune 7, 2021
NPI 1528635919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
121 N MAIN AVE, Bolivar, MO 65613

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist
121 N MAIN AVE
BOLIVAR, MO 65613
Dentist (General Practice)
121 N MAIN AVE
BOLIVAR, MO 65613

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 Blue Cedar Dentistry LLC's NPI number?

The NPI number for Blue Cedar Dentistry LLC is 1528635919. It was assigned to this organization in the NPPES registry on June 5, 2021.

Where is Blue Cedar Dentistry LLC located?

Blue Cedar Dentistry LLC is located at 121 N Main Ave, Bolivar, MO 65613. The listed phone number is (702) 283-8421.

What is Blue Cedar Dentistry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Blue Cedar Dentistry LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Blue Cedar Dentistry LLC 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 Blue Cedar Dentistry LLC was last updated on June 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.