BALAZE & GREGG DENTISTRY – NPI #1013555317
Clinic/Center

BALAZE & GREGG DENTISTRY is an AHC clinic located in LAGUNA NIGUEL, CA. NPPES has assigned the NPI number 1013555317 to BALAZE & GREGG DENTISTRY on December 17, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BALAZE & GREGG DENTISTRY below.

NPI Profile for
BALAZE & GREGG DENTISTRY

NPI Number
1013555317
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BALAZE & GREGG DENTISTRY
Primary location
30131 TOWN CENTER DR STE 250
LAGUNA NIGUEL, CA 92677-2082
Phone: (949) 770-7686 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DANIEL BALAZE
OWNER
Phone: (949) 770-7686
Updated
Certification Date
Dec 17, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.