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GREAT BLUE DENTAL, LLC
NPI 1720534159
Clinic/Center - Dental in Marinette, WI

Active since August 26, 2016
2005 MARINETTE AVE, MARINETTE, WI 54143(715) 732-2601 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Great Blue Dental, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT BLUE DENTAL, LLC (NPI 1720534159) is a healthcare organization registered as a dental in Marinette, Wisconsin and active in the NPI registry since August 2016. The organization lists Wyn Steckbauer, Owner, as its authorized official.

NPPES Registry Identity

NPI1720534159
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGREAT BLUE DENTAL, LLC
Location Address2005 MARINETTE AVEMarinette, WI 54143-3864
Mailing Address2005 Marinette AveMarinette, WI 54143-3864
Phone(715) 732-2601
Organization SubpartNo
Authorized OfficialWyn SteckbauerOwner · (920) 235-3251
Enumeration DateAugust 26, 2016
✔ NPI 1720534159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in WI · 5396-15
2005 MARINETTE AVE, Marinette, WI 54143
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KURT A. ASCHIM, DDS,SC
Dentist (General Practice)
2005 MARINETTE AVE
MARINETTE, WI 54143
Marinette County (715) 732-2601
DR. BRADY WILLIAM MEUDT DDS
Dentist
2005 MARINETTE AVE
MARINETTE, WI 54143
Marinette County (715) 801-2945
KURT A. ASCHIM DDS
Dentist
2005 MARINETTE AVE
MARINETTE, WI 54143
Marinette County (715) 732-2601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Blue Dental, LLC's NPI number?

The NPI number for Great Blue Dental, LLC is 1720534159. It was assigned to this organization in the NPPES registry on August 26, 2016.

Where is Great Blue Dental, LLC located?

Great Blue Dental, LLC is located at 2005 Marinette Ave, Marinette, WI 54143. The listed phone number is (715) 732-2601.

What is Great Blue Dental, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Great Blue Dental, LLC was last updated on August 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.