Individual provider · Type 1 NPI
Marcus Blue, DDS
Periodontics · Basalt, CO
NPI number
1619274263
Active
Practice location
227 Midland Avenue, Suite C-6
Basalt, CO 81621
Mailing address
227 Midland Ave, Suite C-6
Basalt, CO 81621-8114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 10275 (CO) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in Basalt
About NPI 1619274263
Marcus Blue, DDS's National Provider Identifier is 1619274263, issued on Feb 17, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Basalt, CO. The record was last updated on Feb 17, 2011.