Dr Payden Blake Anderson, DMD is a
Dentist - General Practice based in Overton, Nevada. Dr Payden Blake Anderson is licensed to practice in Nevada (license number 6952) and his current practice location is
1170 N Moapa Valley Blvd, Overton, Nevada. He can be reached at his office (for appointments etc.) via phone at
(702) 398-7700.
NPI number for Dr Payden Blake Anderson is 1245751114 and his current mailing address is Po Box 222, Logandale, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245751114.
Healthcare Provider's Profile
Full Name | Dr Payden Blake Anderson |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 1170 N Moapa Valley Blvd, Overton, Nevada |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245751114
- Provider Enumeration Date: 06/30/2017
- Last Update Date: 10/18/2022
Medical Identifiers
Medical identifiers for Dr Payden Blake Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245751114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 6952 (Nevada) | Secondary |
1223G0001X | Dentist - General Practice | 6952 (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Payden Blake Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Payden Blake Anderson, DMD Po Box 222, Logandale, NV 89021-0222 Ph: () - | Dr Payden Blake Anderson, DMD 1170 N Moapa Valley Blvd, Overton, NV 89040-9098 Ph: (702) 398-7700 |
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