| Dr Spencer Sonntag Blackham, DMD, MS | |
|
4585 Silver Springs Dr, Park City, UT 84098-5913 | |
| (435) 649-0099 | |
| Not Available |
| Full Name | Dr Spencer Sonntag Blackham |
|---|---|
| Gender | Male |
| Speciality | Dentist - Dental Public Health |
| Location | 4585 Silver Springs Dr, Park City, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477150316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 7894995-9921 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Spencer Sonntag Blackham, DMD, MS 3097 E High Danish Rd, Sandy, UT 84093-5510 Ph: (847) 907-1989 | Dr Spencer Sonntag Blackham, DMD, MS 4585 Silver Springs Dr, Park City, UT 84098-5913 Ph: (435) 649-0099 |
Benjamin Russell, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2700 Homestead Rd, #130, Park City, UT 84098 Phone: 435-940-9900 | |
Dr. Ashley G. Bailey, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1526 Ute Blvd, Suite 212, Park City, UT 84098 Phone: 435-615-8500 | |
Cody Michael Calderwood, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1600 Snow Creek Dr Ste A, Park City, UT 84060 Phone: 435-649-4343 | |
Dr. Elmira Gederi Shojai, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 795 Hollyhock St, Park City, UT 84098 Phone: 310-433-1061 | |
Matthew Melvin Griffeth, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1680 Ute Blvd, Suite B, Park City, UT 84098 Phone: 435-647-3012 Fax: 435-645-9873 | |
Mr. Simon Scott Kimche, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1901 Prospector Ave, Suite 26, Park City, UT 84060 Phone: 435-645-8500 Fax: 435-645-8173 | |
Dr. Jay E. Lieberman, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 559 Woodside Ave, Park City, UT 84060 Phone: 435-649-0420 |