NPI: 1720227812
Provider Name: ERIC BLASINGAME DDS, MS, INC
Former Legal Business Name: RUSSELL C. HOLPUCH DDS, INC
Classification: Dentist - 1223P0300X
Entity Type: Organization
Specialization: Periodontics
CLIA Number: 05D2269433
Address:
384 HARTNELL AVE STE A
REDDING, CA
ZIP 96002
Phone: (530) 241-3302
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ERIC BLASINGAME DDS, MS, INC is a periodontics dentist in Redding, CA. The provider is 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. ERIC BLASINGAME DDS, MS, INC NPI is 1720227812. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Russell C. Holpuch Dds, Inc.
The provider's business location address is:
384 HARTNELL AVE STE A
REDDING, CA
ZIP 96002-884
Phone: (530) 241-3302
Fax: (530) 241-3321
The provider's authorized official is Eric M. Blasingame .
The authorized official title is President/ Periodontist and has the following contact phone number (530) 241-3302.
The CLIA number assigned to this NPI record is 05D2269433 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/12/2009 and was last updated on 12/20/2019.