OrganizationActive
Blake K Anderson DMD LLC
NPI 1912571027 · Dental Clinic/Center · Grants Pass, OR
Provider details
- NPI number
- 1912571027
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Blake Anderson, Doctor/Owner(916) 765-7036
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
828 Ne a St
Grants Pass, OR 97526-2212
Phone: (541) 476-9792
Street-level locationGet directions
Mailing address
4674 E Foxwood Dr
Eagle Mountain, UT 84005-6176
Other names (DBA / former)
- Doing business as
- A Street Dental
Registry dates
- Enumerated
- 2021-05-14
- Last updated
- 2021-05-14
- Certified
- 2021-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.