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Bluesky Dental

NPI 1073808333ActiveOrganization· Dentist, General Practice· Moscow, ID

Dentist, General Practice in Moscow, Idaho, registered in NPPES in June 2011. The authorized official on file is Kevin C. Henry, DDS, Owner.

Overview

NPI1073808333
StatusActive
Entity typeOrganization
NPI issuedJun 15, 2011
Last updated in NPPESJun 15, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001XD3597ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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