Individual provider · Type 1 NPI

Brian Jerry Black, DDS

General Practice Dentistry · Salt Lake City, UT

NPI number 1457589483 Active

Practice location

1925 E 5600 S
Salt Lake City, UT 84121-1351

Call (801) 278-0458 Map

Fax (801) 278-0460

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X7386388-9922 (UT)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1457589483

Brian Jerry Black, DDS's National Provider Identifier is 1457589483, issued on Jun 29, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 29, 2009.