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

Dr. Nicklaus Cole Blue, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1528817046

Dr. Nicklaus Cole Blue, DMD is a Student in an Organized Health Care Education/Training Program in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2024.

Licensed in
TN
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

875 Union Ave Ste C211
Memphis, TN 38103-3513
Phone: (901) 448-6233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 390200000X (TN)

Record details

NPI number1528817046
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 16, 2024
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024

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