OrganizationActive
Blue Cedar Dentistry LLC
NPI 1528635919 · Dental Clinic/Center · Bolivar, MO
Blue Cedar Dentistry LLC is a Dental Clinic/Center organization in Bolivar, MO (NPI 1528635919).
Provider details
- NPI number
- 1528635919
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nathan Bowen, Owner(702) 283-8421
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
121 N Main Ave
Bolivar, MO 65613-1517
Phone: (702) 283-8421
Street-level locationGet directions
Mailing address
121 N Main Ave
Bolivar, MO 65613-1517
Registry dates
- Enumerated
- 2021-06-05
- Last updated
- 2021-06-07
- Certified
- 2021-06-07
Frequently asked questions
- What is Blue Cedar Dentistry LLC's NPI number?
- Blue Cedar Dentistry LLC's National Provider Identifier (NPI) is 1528635919, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Cedar Dentistry LLC?
- Blue Cedar Dentistry LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Blue Cedar Dentistry LLC located?
- Blue Cedar Dentistry LLC's practice location on file with NPPES is 121 N Main Ave, Bolivar, MO 65613-1517.
- What is Blue Cedar Dentistry LLC's phone number?
- The practice phone number listed in the NPPES registry for Blue Cedar Dentistry LLC is (702) 283-8421.
- Who is the authorized official for Blue Cedar Dentistry LLC?
- The authorized official listed on Blue Cedar Dentistry LLC's NPPES record is Nathan Bowen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Cedar Dentistry LLC's NPI active?
- Yes — Blue Cedar Dentistry LLC's NPI (1528635919) is active in the NPPES registry as of the last update on 2021-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.