Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SPENCER SONNTAG BLACKHAM, DMD, MS
ActiveDR. SPENCER SONNTAG BLACKHAM, DMD, MS is a Dental Public Health healthcare provider located in PARK CITY, Utah. NPI 1477150316 is currently active in the NPPES registry. Verify at CMS.
Dental Public Health · PARK CITY, UT
Registration Details
- NPI Number
- 1477150316
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 5, 2020 (5.6746804262241 yrs)
- Last Updated
- Jun 14, 2022
- License
-
7894995-9921 (UT)
Practice Information
- Address
-
4585 SILVER SPRINGS DRPARK CITY, UT, 840985913Browse UT providers · Browse ZIP 84098
- Phone
- 4356490099
- Primary Specialty
-
Dental Public Health
1223D0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.