| Blue Dragonfly Llc | |
|
307 Nelson St Cambridge NE 69022-0057 | |
| (308) 697-3736 | |
| (308) 692-3705 |
| Full Name | Blue Dragonfly Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 307 Nelson St, Cambridge, Nebraska |
| Authorized Official Name and Position | Dean Darlington Cope (OWNER OFFICER) |
| Authorized Official Contact | 3086973736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Dragonfly Llc Po Box 57 307 Nelson St Cambridge NE 69022-0057 Ph: (308) 697-3736 | Blue Dragonfly Llc 307 Nelson St Cambridge NE 69022-0057 Ph: (308) 697-3736 |
| NPI Number | 1285737882 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285737882 | NPI | - | NPPES |
| 10025375400 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |