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

Daniel R. Blazo, DDS, PLLC

Organization Dental Clinic/Center · NPI 1740859867

Daniel R. Blazo, DDS, PLLC is a Dental Clinic/Center in Dearborn, Michigan. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22100 Outer Dr
Dearborn, MI 48124-3932
Phone: (313) 563-5855
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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

Record details

NPI number1740859867
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Blazo — Owner · (313) 505-0985
NPI enumeratedJune 22, 2021
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021
Mailing address22100 Outer Dr, Dearborn, MI 48124-3932

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