OrganizationActive
Bluesky Dental
NPI 1073808333 · General Practice Dentistry · Moscow, ID
Provider details
- NPI number
- 1073808333
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kevin Henry, Owner(208) 882-9111
- License
- D3597 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2500 W a St Ste 204
Moscow, ID 83843-6000
Phone: (208) 882-9111
Fax: (208) 882-3279
Street-level locationGet directions
Mailing address
2500 W a St Ste 204
Moscow, ID 83843-6000
Registry dates
- Enumerated
- 2011-06-15
- Last updated
- 2011-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.