Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Blackhurst

Individual provider General Practice Dentistry · NPI 1265883474

Dr. Michael Blackhurst is a General Practice Dentistry in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2016.

Licensed in
UT
In the registry since
2016

Practice location Address checks out

1963 S 1200 E Ste 103
Salt Lake City, UT 84105-3523
Phone: (801) 466-1212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9836551-9922 (UT)

Record details

NPI number1265883474
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2016
Last updated in NPPESJune 29, 2016
Mailing address1963 S 1200 E Ste 103, Salt Lake City, UT 84105-3523

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