BLAKE EATON DDS
NPI 1679273395
Student in an Organized Health Care Education/Training Program in Augusta, GA

Active since March 09, 2023
1120 15TH ST # GC5110, AUGUSTA, GA 30912(307) 349-9193 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blake Eaton Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE EATON DDS (NPI 1679273395) is an individual student in an organized health care education/training program in Augusta, Georgia and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1679273395
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBLAKE EATONCredential: DDS
Location Address1120 15TH ST # GC5110Augusta, GA 30912-0004
Mailing Address720 University VlgSalt Lake City, UT 84108-3431 · (307) 349-9193
Sole ProprietorNo
Enumeration DateMarch 9, 2023
NPPES CertifiedMarch 9, 2023
NPI 1679273395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1120 15TH ST # GC5110, Augusta, GA 30912

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5110
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5110
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5110
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5110
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5110
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5110
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5110
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5110
AUGUSTA, GA 30912

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Eaton's NPI number?

The NPI number for Blake Eaton is 1679273395. It was assigned to this individual provider in the NPPES registry on March 9, 2023.

Where is Blake Eaton located?

Blake Eaton practices at 1120 15th St # Gc5110, Augusta, GA 30912. The listed phone number is (307) 349-9193.

What is Blake Eaton's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Blake Eaton was last updated on March 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.