Individual provider · Type 1 NPI

Blake Eaton, DDS

Student in an Organized Health Care Education/Training Program · Augusta, GA

NPI number 1679273395 Active

Practice location

1120 15th St # GC5110
Augusta, GA 30912-0004

Mailing address

720 University Vlg
Salt Lake City, UT 84108-3431

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1679273395

Blake Eaton, DDS's National Provider Identifier is 1679273395, issued on Mar 9, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Augusta, GA. The record was last updated on Mar 9, 2023.