Ann M Blake, D.D.S.
Dentist in Nellis Afb, NV. Individual provider (NPI-1).
NPI number1790733079
StatusActive
Last updated in NPPESAug 20, 2025
Details
- NPI
- 1790733079
- Entity type
- Individual (NPI-1)
- Name
- Ann M Blake
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 5, 2006
- Certification date
- Aug 20, 2025
- Last updated
- Aug 20, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 30019252 | OH | Yes |
| 1223E0200X | Dentist, Endodontics | 30019252 | OH |
Practice location
4700 Las Vegas Blvd NNellis Afb, NV 89191
Phone 702-653-2273
Mailing address
4700 Las Vegas Blvd NNellis Afb, NV 89191
Phone 702-653-2682
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dentist providers in Nellis Afb, NV
- Julia Marie Bell, DMDNPI 1356908495
- Derek ChanNPI 1023959400
- John Chan, DDSNPI 1538129663
- Brandon Chavez, DDSNPI 1134502206
- Benjamin R Clarke, D.D.S.NPI 1679565402
- Jonathan S Dean, D.D.S.NPI 1285610147
- Francine Drummond, D.D.S.NPI 1174826747
- Michael A FajardoNPI 1518285162
- Robert E Fuller, DDSNPI 1730160649
- Michael Gu, DDSNPI 1346581618
All 24 Dentist providers in Nellis Afb · All 856 providers in Nellis Afb
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.