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

Bryan R Blazer DDS PC

Organization Dental Clinic/Center · NPI 1578009577

Bryan R Blazer DDS PC is a Dental Clinic/Center in Elgin, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

431 Summit St Ste 105
Elgin, IL 60120-3861
Phone: (847) 742-6717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 019.028688 (IL)

Record details

NPI number1578009577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Blazer — President/Owner · (847) 742-6717
NPI enumeratedJanuary 13, 2017
Last updated in NPPESJanuary 13, 2017
Mailing address431 Summit St Ste 105, Elgin, IL 60120-3861

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