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

Dr. Gonzalo Blasi, DDSMS

Individual provider Periodontics · NPI 1407396369

Dr. Gonzalo Blasi, DDSMS is a Periodontics in Baltimore, Maryland. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2017

Practice location Address checks out

305 W Fayette St Apt 1412
Baltimore, MD 21201-3466
Phone: (443) 980-8835
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 0401415436 (VA)

Record details

NPI number1407396369
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMS
Sole proprietorYes
NPI enumeratedFebruary 26, 2017
Last updated in NPPESFebruary 26, 2017

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