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Contact Information

ANN M BLAKE, DDS
4700 LAS VEGAS BLVD N
NELLIS AFB, NV89191
 Phone: 702-653-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ANN M BLAKE · (Female)

NPI # 1790733079
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/05/2006
Last updated 08/20/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • OH License # 30019252
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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