Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Blake Kevin Anderson, DMD

Individual provider Dentist · NPI 1235713140

Dr. Blake Kevin Anderson, DMD is a Dentist in Grants Pass, Oregon. Licensed in Oregon. Registered with an NPI since 2021.

Licensed in
OR
In the registry since
2021
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

828 NE A St
Grants Pass, OR 97526-2212
Phone: (916) 765-7036
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D11424 (OR)

Record details

NPI number1235713140
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 6, 2021
Last updated in NPPESMay 6, 2021
Certification dateApril 28, 2021

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