OrganizationActive
Blasingame Dental Corporation
NPI 1508624222 · Periodontics · Stockton, CA
Blasingame Dental Corporation is a Periodontics organization in Stockton, CA (NPI 1508624222).
Provider details
- NPI number
- 1508624222
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Michelle Peters, Insurance Billing Coordinator(530) 241-3302
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4545 Quail Lakes Dr
Stockton, CA 95207-5257
Phone: (530) 241-3302
Street-level locationGet directions
Mailing address
384 Hartnell Ave Ste a
Redding, CA 96002-1884
Other names (DBA / former)
- Doing business as
- Team Perio
Registry dates
- Enumerated
- 2024-03-07
- Last updated
- 2024-03-07
- Certified
- 2024-03-07
Frequently asked questions
- What is Blasingame Dental Corporation's NPI number?
- Blasingame Dental Corporation's National Provider Identifier (NPI) is 1508624222, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blasingame Dental Corporation?
- Blasingame Dental Corporation is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Blasingame Dental Corporation located?
- Blasingame Dental Corporation's practice location on file with NPPES is 4545 Quail Lakes Dr, Stockton, CA 95207-5257.
- What is Blasingame Dental Corporation's phone number?
- The practice phone number listed in the NPPES registry for Blasingame Dental Corporation is (530) 241-3302.
- Who is the authorized official for Blasingame Dental Corporation?
- The authorized official listed on Blasingame Dental Corporation's NPPES record is Michelle Peters, Insurance Billing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blasingame Dental Corporation's NPI active?
- Yes — Blasingame Dental Corporation's NPI (1508624222) is active in the NPPES registry as of the last update on 2024-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.