# BLUE SKY DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063822401
- **Authorized official:** DR. HOLLY F SWIRCZEK DDS (OWNER)
- **Authorized official phone:** (402) 991-9423

## Contact information

- **Practice address:** 2430 S 73RD ST, SUITE 202, OMAHA, NE 68124-2397
- **Practice address phone:** (402) 991-9423
- **Practice address fax:** (402) 991-9890
- **Mailing address:** 2430 S 73RD ST, SUITE 202, OMAHA, NE 68124-2397
- **Mailing address phone:** (402) 991-9423
- **Mailing address fax:** (402) 991-9890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2014
- **Last updated:** 05/07/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025997800 | — | NE |