Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Cedar Dentistry LLC

Organization Dental Clinic/Center · NPI 1528635919

Blue Cedar Dentistry LLC is a Dental Clinic/Center in Bolivar, Missouri. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

121 N Main Ave
Bolivar, MO 65613-1517
Phone: (702) 283-8421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1528635919
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathan Bowen — Owner · (702) 283-8421
NPI enumeratedJune 5, 2021
Last updated in NPPESJune 7, 2021
Certification dateJune 7, 2021
Mailing address121 N Main Ave, Bolivar, MO 65613-1517

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