Dr Spencer Sonntag Blackham, DMD, MS - Dentist in Park City, UT

Dr Spencer Sonntag Blackham, DMD, MS is a Dentist - Dental Public Health based in Park City, Utah. Dr Spencer Sonntag Blackham is licensed to practice in Utah (license number 7894995-9921) and his current practice location is 4585 Silver Springs Dr, Park City, Utah. He can be reached at his office (for appointments etc.) via phone at (435) 649-0099.

NPI number for Dr Spencer Sonntag Blackham is 1477150316 and his current mailing address is 3097 E High Danish Rd, Sandy, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477150316.

Contact Information

Dr Spencer Sonntag Blackham, DMD, MS
4585 Silver Springs Dr,
Park City, UT 84098-5913
(435) 649-0099
Not Available



Healthcare Provider's Profile

Full NameDr Spencer Sonntag Blackham
GenderMale
SpecialityDentist - Dental Public Health
Location4585 Silver Springs Dr, Park City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1477150316
  • Provider Enumeration Date: 10/05/2020
  • Last Update Date: 06/14/2022

Medical Identifiers

Medical identifiers for Dr Spencer Sonntag Blackham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477150316NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223D0001XDentist - Dental Public Health 7894995-9921 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Spencer Sonntag Blackham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

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› Verified 3 days ago


Dentist in Park City, UT

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    

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