Organization · Type 2 NPI

Jerry B. Black, Dds, PC

General Practice Dentistry · Salt Lake City, UT

NPI number 1487696704 Active

Practice location

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

Call (801) 278-0458 Map

Fax (801) 278-0460

Mailing address

8913 Red Willow Cir
Sandy, UT 84093-1488

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	137953 (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.

4 other providers at this address

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About NPI 1487696704

Jerry B. Black, Dds, PC's National Provider Identifier is 1487696704, issued on Jun 12, 2006. 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 Aug 22, 2020.