Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235713140 Individual Practitioner Male Practitioner

Dr. Blake Kevin Anderson , DMD

Dentist • Grants Pass, OR

Professional Overview & Biography Verified Profile Summary

Dr. Blake Anderson, DMD is a registered healthcare professional specializing in Dentist in Grants Pass, OR. Practice services are available at 828 NE A ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

828 Ne A St

Grants Pass, OR 975262212

Telephone 9167657036
Associated Practice Facility / Clinic
🏢 Raelyn N Sutton Dmd Pc Facility NPI 1811155674

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Grants Pass, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
29 Specialists

Practicing in Grants Pass, OR (1289 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: 2021-04-28
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D11424

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Caroline Leibrecht , DMD

Dentist - General Practice

NPI 1174417745

Doctor of Dental Medicine

NPI 1760471163

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 06, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 06, 2021

Registered at 828 NE A ST, GRANTS PASS, OR 975262212 (Tel: 9167657036)

📍
Updated Business Mailing Address May 06, 2021

Registered at 4674 E FOXWOOD DR, EAGLE MOUNTAIN, UT 840056176 (Tel: 9167657036)

👤
Provider Name / Credentials Updated May 06, 2021

Recorded as BLAKE ANDERSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2021

Dentist (License #D11424 in OR)

🟢
Initial NPI Registration & Enumeration May 06, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235713140
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2021
Last Update: May 06, 2021
Sole Proprietor: No

Mailing Address

4674 E Foxwood Dr

Eagle Mountain, UT 840056176

Phone: 9167657036

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.