1. Home
  2. Directory
  3. Utah
  4. Park City
  5. Dentist
  6. NPI Profile

DR. SPENCER SONNTAG BLACKHAM DMD, MS
NPI 1477150316
Dentist - Dental Public Health in Park City, UT

Active since October 05, 2020
4585 SILVER SPRINGS DR, PARK CITY, UT 84098(435) 649-0099 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Spencer Sonntag Blackham Dmd, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SPENCER SONNTAG BLACKHAM DMD, MS (NPI 1477150316) is an individual dental public health provider in Park City, Utah, licensed in Utah (7894995-9921) and active in the NPI registry since October 2020. He maintains a secondary practice location in Coalville.

NPPES Registry Identity

NPI1477150316
Entity TypeIndividualMale
Primary Taxonomy1223D0001X
Provider Legal NameDR. SPENCER SONNTAG BLACKHAMCredential: DMD, MS
Location Address4585 SILVER SPRINGS DRPark City, UT 84098-5913
Mailing Address3097 E High Danish RdSandy, UT 84093-5510 · (847) 907-1989
Phone(435) 649-0099
Sole ProprietorNo
Enumeration DateOctober 5, 2020
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1477150316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License✔ Licensed in UT · 7894995-9921
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
4585 SILVER SPRINGS DR, Park City, UT 84098
Open in Google Maps ↗

Secondary Practice Location 1

Location 1142 S 50 E Ste 103Coalville, UT 84017-5544 · Phone (435) 649-0099

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY REX SUMSION DMD, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
4585 SILVER SPRINGS DR
PARK CITY, UT 84098
Summit County (435) 649-0099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spencer Blackham's NPI number?

The NPI number for Spencer Blackham is 1477150316. It was assigned to this individual provider in the NPPES registry on October 5, 2020.

Where is Spencer Blackham located?

Spencer Blackham practices at 4585 Silver Springs Dr, Park City, UT 84098. The listed phone number is (435) 649-0099.

What is Spencer Blackham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

What insurance does Spencer Blackham accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Spencer Blackham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spencer Blackham was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.