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

Blake Eaton, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679273395

Blake Eaton, DDS is a Student in an Organized Health Care Education/Training Program in Augusta, Georgia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

1120 15th St # GC5110
Augusta, GA 30912-0004
Phone: (307) 349-9193
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1679273395
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 9, 2023
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023
Mailing address720 University Vlg, Salt Lake City, UT 84108-3431

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