BLUE SKY FAMILY DENTISTRY
NPI 1679071633
Clinic/Center - Dental in Austin, TX
Active since January 24, 2018
About Blue Sky Family Dentistry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE SKY FAMILY DENTISTRY (NPI 1679071633) is a healthcare organization registered as a dental in Austin, Texas and active in the NPI registry since January 2018. The organization lists Ben Corpron, Owner, as its authorized official.
NPPES Registry Identity
NPI1679071633
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBLUE SKY FAMILY DENTISTRY
Location Address5915 LA CROSSE AVE STE 105Austin, TX 78739-1747
Mailing Address1905 Crooked LnAustin, TX 78741-3907
Phone(919) 740-5096
Organization SubpartNo
Authorized OfficialBen CorpronOwner · (919) 740-5096
Enumeration DateJanuary 24, 2018
✔ NPI 1679071633 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in TX · 33478
5915 LA CROSSE AVE STE 105, Austin, TX 78739
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679071633, enumerated as an "organization" on January 24, 2018.
The provider is located at 5915 LA CROSSE AVE STE 105 AUSTIN, TX 78739 and the phone number is (919) 740-5096.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
