1. BLUE SKIES WEST DENTAL AND 2. BLUES SKIES EAST DENTAL – NPI #1679040604
Clinic/Center

1. BLUE SKIES WEST DENTAL AND 2. BLUES SKIES EAST DENTAL is an AHC clinic located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1679040604 to 1. BLUE SKIES WEST DENTAL AND 2. BLUES SKIES EAST DENTAL on October 29, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “1. BLUE SKIES WEST DENTAL AND 2. BLUES SKIES EAST DENTAL” is a dba name, the actual legal business name for this organization is BLUE SKIES OF TEXAS DENTAL, PLLC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 1. BLUE SKIES WEST DENTAL AND 2. BLUES SKIES EAST DENTAL below.

NPI Profile for
BLUE SKIES OF TEXAS DENTAL, PLLC

NPI Number
1679040604
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE SKIES OF TEXAS DENTAL, PLLC
Doing Business As (dba): 1. BLUE SKIES WEST DENTAL AND 2. BLUES SKIES EAST DENTAL
Primary location
5100 JOHN D RYAN BLVD
SAN ANTONIO, TX 78245-3527
Phone: (210) 674-3122 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JULIAN MARTINEZ
OWNER/ GENERAL DENTIST
Phone: (832) 322-2310
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.