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

Dr. Blake Burnett, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073929634

Dr. Blake Burnett, DMD is a Student in an Organized Health Care Education/Training Program in Saint Petersburg, Florida. Registered with an NPI since 2014.

In the registry since
2014
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

9200 113th St
Saint Petersburg, FL 33708
Phone: (727) 394-6064
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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 number1073929634
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 3, 2014
Last updated in NPPESJuly 3, 2014
Mailing address4936 Miramar Dr, Apt. 4207, Madeira Beach, FL 33708-3396

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