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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN JERRY BLACK, D.D.S.

Active

BRIAN JERRY BLACK, D.D.S. is a General Dentistry healthcare provider located in SALT LAKE CITY, Utah. NPI 1457589483 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SALT LAKE CITY, UT

Registration Details

NPI Number
1457589483
Provider Type
Individual
Gender
Male
NPI Issued
Jun 29, 2009 (17.137053442179 yrs)
Last Updated
Jun 29, 2009
License
7386388-9922 (UT)

Practice Information

Address
1925 E 5600 S
SALT LAKE CITY, UT, 841211351
Browse UT providers · Browse ZIP 84121
Phone
8012780458
Fax
8012780460
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in SALT LAKE CITY, UT

Name Credential NPI
DR. DENNY N CHO DDS 1609879972
RICHARD JOSEPH HAULEY JR. DMD 1891799201
DR. THOMAS F. BRICKEY D.M.D. 1184623480
DR. MARK SPANGLER WALLACE DDS 1669467213
DR. GREGORY WALLACE GATRELL D.D.S. 1912977752
DR. SCOTT RAYMOND STEIN D.D.S. 1154380772
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.