Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blasingame Dental Corporation

Organization Periodontics · NPI 1508624222

Blasingame Dental Corporation provides Periodontics in Stockton, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4545 Quail Lakes Dr
Stockton, CA 95207-5257
Phone: (530) 241-3302
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1508624222
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Peters — Insurance Billing Coordinator · (530) 241-3302
Other names Team Perio
NPI enumeratedMarch 7, 2024
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024
Mailing address384 Hartnell Ave Ste A, Redding, CA 96002-1884

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