Blackham, Spencer Sonntag

Blackham, Spencer Sonntag is an individual health care provider with primary practice located at 4585 Silver Springs Dr , Park City UT 84098-5913. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Blackham, Spencer Sonntag can be contacted via phone (435) 649-0099.

Contact Information

Primary practice address
4585 Silver Springs Dr Park City UT 84098-5913
Phone: (435) 649-0099
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 7894995-9921 Utah

Profile Details

NPI number 1477150316
LBN Legal business name Blackham, Spencer Sonntag
Credentials DMD, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2020
Last updated Jun 14th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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