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DR. SPENCER SONNTAG BLACKHAM DMD MS NPI 1477150316


NPI Information

NPI: 1477150316
Provider Name: DR. SPENCER SONNTAG BLACKHAM, DMD, MS
Classification: Dentist - 1223D0001X
Entity Type: Individual

Specialization: Dental Public Health

Address:
4585 SILVER SPRINGS DR
PARK CITY, UT
ZIP 84098
Phone: (435) 649-0099
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DR. Spencer Sonntag Blackham, DMD, MS is a dental public health dentist in Park City, UT. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. DR. Spencer Sonntag Blackham, DMD, MS NPI is 1477150316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4585 SILVER SPRINGS DR
PARK CITY, UT
ZIP 84098-913
Phone: (435) 649-0099

The enumeration date for this NPI number is 10/5/2020 and was last updated on 6/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223D0001XDentistDental Public Health7894995-9921UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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