Craig Blackham is a Fort Duchesne, Utah based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Craig Blackham is 296101-9922 for General Practice Dentistry in Utah. His current practice location is 6822 East 1000 South, Fort Duchesne. Patients can reach him at 435-725-6874.
Craig Blackham is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Craig Blackham speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Craig Blackham
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
6822 East 1000 South, Fort Duchesne, Utah, 84026
Phone:
435-725-6874
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1881724417
NPI Enumeration Date:
06 Mar, 2007
NPI Last Update On:
21 Jul, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Craig Blackham are as mentioned below.
License Number
Specialization
State
Status
296101-9922
General Practice Dentistry
Utah
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Craig Blackham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
700000000009
Medicaid
Utah
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
333 W 350 S, Vernal, Utah
Zip:
84078
Phone Number:
435-789-7711
Patients can reach Craig Blackham at 6822 East 1000 South, Fort Duchesne, Utah or can call to book an appointment on 435-725-6874. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.