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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.