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

Dr. Blake Upshaw, DMD

Individual provider Dentist · NPI 1457766081

Dr. Blake Upshaw, DMD is a Dentist in Cumming, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1200 Bald Ridge Marina Rd Ste 200
Cumming, GA 30041-8526
Phone: (770) 781-8650
Fax: (770) 781-2953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN014775 (GA)

Record details

NPI number1457766081
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 23, 2014
Last updated in NPPESJune 23, 2014
Mailing addressPo Box 599, Cumming, GA 30028-0599

Other providers in Cumming