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Ronald J Blackhurst, DDS
General Practice Dentistry in Midvale, Utah
NPI 1528108784

Ronald J Blackhurst is a General Practice Dentistry based in Midvale, UT and is specialized in General Practice. Ronald J Blackhurst practices in Midvale, UT and has the professional credentials of DDS. The NPI Number for Ronald J Blackhurst is 1528108784 and holds a License No. 136235 (Utah).

The current practice location address for Ronald J Blackhurst is 7001 S 900 E Ste 450, Midvale, UT and can be reached out via phone at 801-561-5212 and via fax at 801-561-5239. You can also correspond with Ronald J Blackhurst through the mailing address at 7001 S 900 E STE 450, MIDVALE, UT - 84047-6016 (mailing address contact number: 801-561-5212).

Location: 7001 S 900 E Ste 450, Midvale, UT, 84047-6016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528108784
Provider Name
Ronald J Blackhurst
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
7001 S 900 E Ste 450, Midvale, UT, 84047-6016
Phone Number
801-561-5212
Fax Number
801-561-5239
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
136235 01 UT STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
7001 S 900 E Ste 450
City
Midvale
State
Utah
Zip
84047-6016
Phone Number
801-561-5212
Fax Number
801-561-5239
person
Provider Business Mailing Address Details
Address
7001 S 900 E Ste 450
City
Midvale
State
Utah
Zip
84047-6016
Phone Number
801-561-5212
Fax Number
801-561-5239
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
136235 (Utah)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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