BLASINGAME DENTAL CORPORATION NPI 1508624222

NPI Information

  • NPI: 1508624222
  • Provider Name: BLASINGAME DENTAL CORPORATION
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 4545 QUAIL LAKES DR
    STOCKTON, CA
    ZIP 95207
  • Phone: (530) 241-3302

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NPI Details

BLASINGAME DENTAL CORPORATION is a periodontics dentist in Stockton, 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. BLASINGAME DENTAL CORPORATION NPI is 1508624222. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4545 QUAIL LAKES DR
STOCKTON, CA
ZIP 95207-257
Phone: (530) 241-3302

The provider's authorized official is Michelle Peters .
The authorized official title is Insurance Billing Coordinator and has the following contact phone number (530) 241-3302.

The enumeration date for this NPI number is 3/7/2024 and was last updated on 3/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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