Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457766081 Individual Practitioner Male Practitioner

Dr. Blake Upshaw , DMD

Dentist • Cumming, GA

Professional Overview & Biography Verified Profile Summary

Dr. Blake Upshaw, DMD is a registered healthcare professional specializing in Dentist in Cumming, GA. Practice services are available at 1200 BALD RIDGE MARINA RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 Bald Ridge Marina Rd
Suite 200

Cumming, GA 300418526

Telephone 7707818650
Fax 7707812953
Associated Practice Facility / Clinic
🏢 Georgia Heart Care, Llc Facility NPI 1689728636

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Cumming, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
30 Specialists

Practicing in Cumming, GA (2164 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GA DN014775

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Sitwat Mahmood

Dentist - General Practice

NPI 1003552076
NPI 1306299854

Doctor of Dental Medicine

Dr. Kevin Short , DDS

Dentist - General Practice

NPI 1306930607

Doctor of Dental Surgery

Dr. Michael Perpall , DMD

Dentist - General Practice

NPI 1386769800

Doctor of Dental Medicine

Dr. Teresa Esker , DMD

Dentist - General Practice

NPI 1447375316

Doctor of Dental Medicine

Dr. Susan Kramer , DMD

Dentist - General Practice

NPI 1508981481

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2014

Registered at 1200 BALD RIDGE MARINA RD, SUITE 200, CUMMING, GA 300418526 (Tel: 7707818650)

📍
Updated Business Mailing Address June 23, 2014

Registered at PO BOX 599, CUMMING, GA 300280599 (Tel: 7707818650)

👤
Provider Name / Credentials Updated June 23, 2014

Recorded as BLAKE UPSHAW, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2014

Dentist (License #DN014775 in GA)

🟢
Initial NPI Registration & Enumeration June 23, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457766081
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2014
Last Update: June 23, 2014
Sole Proprietor: No

Mailing Address

Po Box 599

Cumming, GA 300280599

Phone: 7707818650

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.