Blue Sky Family Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BLUE SKY FAMILY DENTAL PLLC

Practice address

1 Billings Rd Ste 101
Quincy, MA 02171-2456

Phone

(781) 654-7213

NPI assigned

Jun 11, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Li, DMD

Title

Owner - Dentist

Phone

(646) 824-5176

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1073172243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 HOBART ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BILLINGS RD STE 101",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712456",
            "telephone_number": "781-654-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER - DENTIST",
        "authorized_official_telephone_number": "646-824-5176",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Quincy, MA
• Providers in Quincy, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.