DR. SPENCER SONNTAG BLACKHAM (NPI# 1477150316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477150316 |
| Entity Type | Individual |
| Full Name | DR. SPENCER SONNTAG BLACKHAM |
| Credential | DMD, MS |
| Practice Address |
1377 E 3900 S Ste 203 Salt Lake City UT 84124-1493 |
| Mailing Address |
3097 E High Danish Rd Sandy UT 84093-5510 |
| Practice Telephone | 8019885693 |
| Mailing Telephone | 8479071989 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
7894995-9921 | UT | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 216 E Main St, Lehi, UT 840432231 | 8017580322 | |
| 2651 W S Jordan Pkwy Ste 201, South Jordan, UT 840958966 | 8013163540 | |
| 2832 West 4700 South, Suite C, West Valley City, UT 84118 | 8018102803 | |
| 757 N Main St, Moab, UT 845322132 | 4352592232 |
| Street Address |
1377 E 3900 S STE 203 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1790293454 | Treehouse Dental Inc | Dentist | 11055 N Alpine Hwy, Highland, UT 84003-8924 | 2018-01-16 |
| 1164755740 | Clinica Dental | Dentist | 2470 S Redwood Rd, #204, West Valley City, UT 84119-2079 | 2009-09-14 |
| 1518185164 | Dean Crispin Troili | Dentist | 950 E. 25 Th Street, Ogden, UT 84401 | 2007-04-20 |
| 1740381490 | Jeffrey Kirk Wood | Dentist | 20 W. 1700 S., Clearfield, UT 84016-0074 | 2006-09-26 |
| 1942823448 | Cherish Dunshee | Dentist | 4745 S 3200 W, Taylorsville, UT 84129-2822 | 2020-05-19 |
| 1477009678 | Justin Bauer | Dentist | 241 W Forest St, Brigham City, UT 84302 | 2016-08-28 |
| 1588039499 | Matthews Dental | Dentist | 1305 N Commerce Dr, #220, Saratoga Springs, UT 84045 | 2015-12-03 |
| 1942479811 | Tooele County Health Department | Dentist | 151 N Main St, Tooele, UT 84074-2141 | 2008-02-26 |
| 1578755948 | Darrell Osterhoudt | Dentist | 9217 S Redwood Rd, Suite C, West Jordan, UT 84088-5826 | 2007-08-09 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.