Jerry B. Black, Dds, Pc is a Dental Clinic in Salt Lake City, Utah. It is located at 1925 E 5600 S, Salt Lake City, UT and its contact number is 801-278-0458. The authorized person for Jerry B. Black, Dds, Pc is Dr. Jerry Beck Black
who is President of the clinic and their contact number is 801-278-0458. The primary license number for Jerry B. Black, Dds, Pc is 137953 (General Practice) in Utah.
Jerry B. Black, Dds, Pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Jerry B. Black, Dds, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Jerry B. Black, Dds, Pc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1925 E 5600 S, Salt Lake City,
Utah, 84121-1351 |
| Phone: | 801-278-0458 |
| Fax: | 801-278-0460 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Jerry Beck Black |
| Position: | President |
| Contact Number: | 801-278-0458 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jerry B. Black, Dds, Pc clinic are as mentioned below.
| NPI Number: | 1487696704 |
| NPI Enumeration Date: | 12 Jun, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerry B. Black, Dds, Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 137953 | Utah | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4671 | Other | Utah | Pehp |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jerry B. Black, Dds, Pc
8913 Red Willow Cir,
Sandy, Utah |
| Zip: | 84093-1488 |
| Phone Number: | 801-255-6742 |
| Fax Number: | 801-255-5170 |
Patients can reach Jerry B. Black, Dds, Pc at
1925 E 5600 S, Salt Lake City, Utah or can
call to book an appointment on 801-278-0458.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.