| Craig Blackham, DDS | |
|
6822 East 1000 South, Fort Duchesne, UT 84026 | |
| (435) 725-6874 | |
| Not Available |
| Full Name | Craig Blackham |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 6822 East 1000 South, Fort Duchesne, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881724417 | NPI | - | NPPES |
| 700000000009 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 296101-9922 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Blackham, DDS 333 W 350 S, Vernal, UT 84078 Ph: (435) 789-7711 | Craig Blackham, DDS 6822 East 1000 South, Fort Duchesne, UT 84026 Ph: (435) 725-6874 |
Jake Richardson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6932 E 1400 S, Fort Duchesne, UT 84026 Phone: 435-722-5122 | |
Dr. Joseph William Myers, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6822 East 1000 South, Fort Duchesne Phs Indian Health Center, Fort Duchesne, UT 84026 Phone: 435-725-6874 |