Blake, Ann M
Blake, Ann M is an individual health care provider with primary practice located at 4700 Las Vegas Blvd N , Nellis Afb NV 89191. She recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Blake, Ann M can be contacted via phone (702) 653-2273.Contact Information
Primary practice address
4700 Las Vegas Blvd N
Nellis Afb NV 89191
Phone: (702) 653-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 30019252 | Ohio |
| Dental Providers / Dentist | 122300000X | 30019252 | Ohio |
Profile Details
| NPI number | 1790733079 |
|---|---|
| LBN Legal business name | Blake, Ann M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Aug 8th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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