Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY BECK BLACK, D.D.S.
ActiveDR. JERRY BECK BLACK, D.D.S. is a Dentist healthcare provider located in SALT LAKE CITY, Utah. NPI 1124062872 is currently active in the NPPES registry. Verify at CMS.
Dentist · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1124062872
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2006 (19.981658694927 yrs)
- Last Updated
- Jul 8, 2007
- License
-
137953 (UT)
Practice Information
- Address
-
1925 E 5600 SSALT LAKE CITY, UT, 841211351Browse UT providers · Browse ZIP 84121
- Phone
- 8012780458
- Fax
- 8012780460
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES MCCONKIE WRIGHT | DDS | 1235118688 |
| DR. ASHLEY TRACZEWITZ ROACH | D.M.D. | 1114974292 |
| DR. SCOTT PAUL COLD | D.D.S. | 1972549418 |
| MR. DAVID O SMITH | D.M.D. | 1265458046 |
| THOMAS R LIDDELL | D.D.S | 1104845890 |
| JONATHAN C LIDDELL | D.M.D. | 1104845817 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.