Craig Blackham, DDS

NPI #1881724417 in Fort Duchesne, Utah

Provider Information

NPI Number: 1881724417
Entity Type: Individual
Name: Craig Blackham, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 6, 2007
Last Updated: Jul 21, 2022

Practice Location

Address: 6822 EAST 1000 SOUTH
City: Fort Duchesne
State: Utah
ZIP Code: 84026
Phone: (435) 725-6874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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