Blue Skies Pediatric Dentistry
Organization Active NPI Dental Clinic/Center · Verona, WI
NPI 1154045953 · NPPES record last updated Oct 8, 2023
Key facts
- NPI
- 1154045953
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- BLUE SKIES PEDIATRIC DENTISTRY
- Practice address
- 220 Keenan Court
Suite #100
Verona, WI 53593 - Phone
- (608) 960-8414
- NPI assigned
- Sep 27, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Stephen Ross Prieve, DMD
- Title
- Member
- Phone
- (608) 960-8414
Practitioners 1
-
Stephen Ross Prieve, DMD
National Provider Directory
Locations
220 Keenan Ct
Ste 100
Verona, WI 53593
Phone (608) 960-8414
220 Keenan Ct
Ste 4
Verona, WI 53593
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
220 Keenan Court
Suite #100
Verona, WI 53593
Mailing address
220 Keenan CT Ste 100
Verona, WI 53593-9720
Other providers in Verona, WI
- Janet A Billerbeck
- Rebecca Ruth Birckhead
- Chadd David Black
- Maia Lauren Blas
- Adrienne Lorayne Blow
- Dana Sue Bohrer
- Gary Bongey
- Kelly J Borelli
- Amanda Janssen Borleske
- Alane M Boutelle
All providers in Verona, WI · Dental Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.