IndividualActive
Stephen Blue, D.D.S.
NPI 1205831773 · General Practice Dentistry · Gridley, IL
Provider details
- NPI number
- 1205831773
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- License
- 0190016892 (IL)
Specialties & taxonomies
Dental Providers
Practice location
205 E Gridley Rd
Gridley, IL 61744-8733
Phone: (309) 747-2213
Fax: (309) 747-3989
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 399
Gridley, IL 61744-0399
Registry dates
- Enumerated
- 2005-06-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.