Provider Demographics
NPI:1467652552
Name:DAWES, BLAKE EVERETT (DDS)
Entity type:Individual
Prefix:DR
First Name:BLAKE
Middle Name:EVERETT
Last Name:DAWES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 AUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-5832
Mailing Address - Country:US
Mailing Address - Phone:325-646-1561
Mailing Address - Fax:
Practice Address - Street 1:4373 TREANOR DR
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-7065
Practice Address - Country:US
Practice Address - Phone:325-692-1580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX234591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice