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

JERRY B. BLACK, DDS, PC

Active Organization

General Dentistry · SALT LAKE CITY, UT

Registration Details

NPI Number
1487696704
Provider Type
Organization
NPI Issued
Jun 12, 2006 (19.859630358033 yrs)
Last Updated
Aug 22, 2020
License
137953 (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 Organizations in SALT LAKE CITY, UT

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.