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General NPI Number Information
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NPI Number | 1982819462
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Entity Type | Individual
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Provider Name | TOM E BLUE DDS
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 01/04/2026
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Provider Practice Location Address
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Address Line | 42500 BOB HOPE
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City | RANCH MIRAGE
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State | CA
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Zip | 92270
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Country | US
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Telephone | 760-568-2797
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Fax |
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Provider Business Mailing Address
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Address Line | 42500 BOB HOPE DR
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-4471
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Country | US
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Telephone | 760-568-2797
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 32275
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License Number State | CA
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