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BLASINGAME DENTAL CORPORATION
NPI 1508624222
Dentist - Periodontics in Stockton, CA

Active since March 07, 2024
4545 QUAIL LAKES DR, STOCKTON, CA 95207(530) 241-3302 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blasingame Dental Corporation NPPES

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

BLASINGAME DENTAL CORPORATION (NPI 1508624222), doing business as Team Perio, is a healthcare organization registered as a periodontics in Stockton, California and active in the NPI registry since March 2024. The organization lists Michelle Peters, Insurance Billing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1508624222
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameBLASINGAME DENTAL CORPORATION
Location Address4545 QUAIL LAKES DRStockton, CA 95207-5257
Mailing Address384 Hartnell Ave Ste ARedding, CA 96002-1884 · (530) 241-3302 · Fax (530) 241-3321
Phone(530) 241-3302
Organization SubpartNo
Authorized OfficialMichelle PetersInsurance Billing Coordinator · (530) 241-3302
Enumeration DateMarch 7, 2024
NPPES CertifiedMarch 7, 2024
✔ NPI 1508624222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
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.
4545 QUAIL LAKES DR, Stockton, CA 95207
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Other Names 1

Doing Business AsTeam Perio

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. JAMES CURTIS RAWLINGS D.D.S.
Dentist (General Practice)
4545 QUAIL LAKES DR
STOCKTON, CA 95207
San Joaquin County (209) 473-4545

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 Blasingame Dental Corporation's NPI number?

The NPI number for Blasingame Dental Corporation is 1508624222. It was assigned to this organization in the NPPES registry on March 7, 2024. The provider is doing business as Team Perio.

Where is Blasingame Dental Corporation located?

Blasingame Dental Corporation is located at 4545 Quail Lakes Dr, Stockton, CA 95207. The listed phone number is (530) 241-3302.

What is Blasingame Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Blasingame Dental Corporation was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.