Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790733079 Individual Practitioner Female Practitioner

Dr. Ann M Blake , DDS

Dentist • Nellis Afb, NV

Professional Overview & Biography Verified Profile Summary

Dr. Ann Blake, DDS is a registered healthcare professional specializing in Dentist in Nellis Afb, NV. Practice services are available at 4700 LAS VEGAS BLVD N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4700 Las Vegas Blvd N

Nellis Afb, NV 89191

Telephone 7026532273
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Nellis Afb, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
22 Specialists

Practicing in Nellis Afb, NV (886 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-20
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OH 30019252

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

State License OH 30019252

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Katrina Baumann , DPT

Physical Therapist - Orthopedic

NPI 1003260746

Doctor of Physical Therapy

Dr. Soukaina Noor , MD

Psychiatry & Neurology - Neurology

NPI 1003441569

Doctor of Medicine (M.D.)

Dr. Edward Kempton , MD

Emergency Medicine

NPI 1003442971

Doctor of Medicine (M.D.)

Dr. Aaron Wolbrueck , DO

Internal Medicine

NPI 1003444977

Doctor of Osteopathic Medicine (D.O.)

Dr. Eileen Ly , MD

Family Medicine

NPI 1013502780

Doctor of Medicine (M.D.)

Dr. Brannon Inman , MD

Internal Medicine - Critical Care Medicine

NPI 1013543248

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location July 23, 2018

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191 (Tel: 7026532682)

📍
Updated Business Mailing Address July 23, 2018

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191 (Tel: 7026532682)

NPI Profile Active September 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2017

Registered at 2417 MCGUIRE BLVD, JB MDL, NJ 086415116 (Tel: 6097542886)

📍
Updated Business Mailing Address September 08, 2017

Registered at 2417 MCGUIRE BLVD, JBMDL, NJ 08641

👤
Provider Name / Credentials Updated September 08, 2017

Recorded as ANN BLAKE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2017

Dentist (License #30019252 in OH)

NPI Profile Active June 03, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2009

Registered at UNIT 3865, APO, AE 091263865 (Tel: 011496565613184)

📍
Updated Business Mailing Address June 03, 2009

Registered at 52 MDG UNIT 3865, APO, AE 091263865 (Tel: 01149656613184)

👤
Provider Name / Credentials Updated June 03, 2009

Recorded as ANN BLAKE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2009

Dentist (License #30019252 in OH)

🟢
Initial NPI Registration & Enumeration May 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1790733079
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2006
Last Update: August 20, 2025
Sole Proprietor: No

Mailing Address

4700 Las Vegas Blvd N

Nellis Afb, NV 89191

Phone: 7026532682

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.