OrganizationActive
Bryan R Blazer DDS PC
NPI 1578009577 · Dental Clinic/Center · Elgin, IL
Bryan R Blazer DDS PC is a Dental Clinic/Center organization in Elgin, IL (NPI 1578009577).
Provider details
- NPI number
- 1578009577
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bryan Blazer, President/Owner(847) 742-6717
- License
- 019.028688 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
431 Summit St Ste 105
Elgin, IL 60120-3861
Phone: (847) 742-6717
Street-level locationGet directions
Mailing address
431 Summit St Ste 105
Elgin, IL 60120-3861
Registry dates
- Enumerated
- 2017-01-13
- Last updated
- 2017-01-13
Frequently asked questions
- What is Bryan R Blazer DDS PC's NPI number?
- Bryan R Blazer DDS PC's National Provider Identifier (NPI) is 1578009577, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bryan R Blazer DDS PC?
- Bryan R Blazer DDS PC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bryan R Blazer DDS PC located?
- Bryan R Blazer DDS PC's practice location on file with NPPES is 431 Summit St Ste 105, Elgin, IL 60120-3861.
- What is Bryan R Blazer DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Bryan R Blazer DDS PC is (847) 742-6717.
- Who is the authorized official for Bryan R Blazer DDS PC?
- The authorized official listed on Bryan R Blazer DDS PC's NPPES record is Bryan Blazer, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bryan R Blazer DDS PC's NPI active?
- Yes — Bryan R Blazer DDS PC's NPI (1578009577) is active in the NPPES registry as of the last update on 2017-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.