CRAIG BLACKHAM, DDS
Dentist - General Practice
Active
Individual
NPI: 1881724417
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 296101-9922 (UT) |
Frequently Asked Questions
NPI 1881724417 is the National Provider Identifier for CRAIG BLACKHAM, DDS, a Dentist - General Practice provider located in Fort Duchesne, UT. This NPI was enumerated on March 6, 2007.
CRAIG BLACKHAM, DDS practices at 6822 EAST 1000 SOUTH, Fort Duchesne, UT 84026.
Quick Facts
- NPI
- 1881724417
- Type
- Individual
- Enumerated
- Mar 6, 2007
- Last Updated
- Jul 21, 2022
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