Blue Skies Dental LLC

NPI #1225748049 in Manhattan, Kansas

Provider Information

NPI Number: 1225748049
Entity Type: Organization
Organization Name: Blue Skies Dental LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Dec 2, 2022
Last Updated: Apr 27, 2023

Practice Location

Address: 4201 ANDERSON AVE
Address 2: STE A
City: Manhattan
State: Kansas
ZIP Code: 66503-7601
Phone: (785) 537-4337

Authorized Official

Name: TRAVIS RAY WYMER, DDS
Title: OWNER
Phone: (785) 392-0770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

Additional Practice Locations

3863 Hayovel Pl

Manhattan, KS, 66503-8529

(785) 392-0770

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