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

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