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Craig Blackham, DDS
General Practice Dentistry in Fort Duchesne, Utah
NPI 1881724417

Craig Blackham is a General Practice Dentistry based in Vernal, UT and is specialized in General Practice. Craig Blackham practices in Fort Duchesne, UT and has the professional credentials of DDS. The NPI Number for Craig Blackham is 1881724417 and holds a License No. 296101-9922 (Utah).

The current practice location address for Craig Blackham is 6822 East 1000 South, Fort Duchesne, UT and can be reached out via phone at 435-725-6874.

Location: 6822 East 1000 South, Fort Duchesne, UT, 84078
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881724417
Provider Name
Craig Blackham
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6822 East 1000 South, Fort Duchesne, UT, 84078
Phone Number
435-725-6874
Fax Number
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
700000000009 05 UT
institution
Provider Business Practice Location Address Details
Address
6822 East 1000 South
City
Fort Duchesne
State
Utah
Zip
84026
Phone Number
435-725-6874
Fax Number
person
Provider Business Mailing Address Details
Address
6822 East 1000 South
City
Fort Duchesne
State
Utah
Zip
84026
Phone Number
435-725-6874
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
296101-9922 (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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