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: July 19, 2026.

  • Organization
  • Dentist
  • Periodontics

About BLASINGAME DENTAL CORPORATION

This page provides the complete NPI Profile along with additional information for Blasingame Dental Corporation, a provider established in Stockton, California operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1508624222 assigned on March 2024. The practitioner's primary taxonomy code is 1223P0300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michelle Peters (Insurance Billing Coordinator)

NPI
1508624222 Verify this NPI
Provider Name
BLASINGAME DENTAL CORPORATION
Entity Type
Organization
Location Address
4545 QUAIL LAKES DR STOCKTON, CA 95207
Location Phone
(530) 241-3302
Mailing Address
384 HARTNELL AVE STE A REDDING, CA 96002
Mailing Phone
(530) 241-3302
Mailing Fax
(530) 241-3321
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2024
Last Update Date
03-07-2024
Code Navigator

A dentist like Blasingame Dental Corporation is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELLE PETERS

Authorized Official Title
INSURANCE BILLING COORDINATOR
Authorized Official Phone
(530) 241-3302

Reviews for BLASINGAME DENTAL CORPORATION

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
4545 QUAIL LAKES DR
STOCKTON, CA 95207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508624222, enumerated as an "organization" on March 07, 2024.

The provider is located at 4545 QUAIL LAKES DR STOCKTON, CA 95207 and the phone number is (530) 241-3302.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.