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 is a 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

Other providers in Stockton