Dr. Spencer Sonntag Blackham
Dental Public Health
1377 E 3900 S Ste 203
Salt Lake City
, Utah 84124-1493
Dr. Spencer Sonntag Blackham
Dental Public Health
1377 E 3900 S Ste 203
Salt Lake City
, Utah 84124-1493
(847) 907-1989
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Spencer Sonntag Blackham
- 3097 E High Danish Rd
- Sandy, UT
- Zip : 84093-5510
- Phone : (847) 907-1989
Second Address
- Dr. Spencer Sonntag Blackham
- 1377 E 3900 S Ste 203
- Salt Lake City, UT
- Zip : 84124-1493
- Phone : (801) 988-5693
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FAQs
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Is Dr. Spencer Sonntag Blackham a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 7894995-9921 | UT |
National Provider Identifier
| NPI | 1477150316 |
|---|---|
| Provider Name | Dr. Spencer Sonntag Blackham |
| First Address | Sandy, UT 84093-5510 |
| Second Address | Salt Lake City, UT 84124-1493 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2020 |
| Last Update Date | 05/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.