Organization · Type 2 NPI
Blasingame Dental Corporation
Periodontics · Stockton, CA
NPI number
1508624222
Active
Practice location
4545 Quail Lakes Dr
Stockton, CA 95207-5257
Mailing address
384 Hartnell Ave Ste A
Redding, CA 96002-1884
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: 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.
Another provider at this address
About NPI 1508624222
Blasingame Dental Corporation's National Provider Identifier is 1508624222, issued on Mar 7, 2024. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Stockton, CA. The record was last updated on Mar 7, 2024.