Dr. Jerry Beck Black is a Salt Lake City, Utah based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jerry Beck Black is 137953 for Dentistry in Utah. His current practice location is 1925 E 5600 S, Salt Lake City. Patients can reach him at 801-278-0458.
Dr. Jerry Beck Black is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jerry Beck Black speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Jerry Beck Black
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
1925 E 5600 S, Salt Lake City, Utah, 84121-1351
Phone:
801-278-0458
Fax:
801-278-0460
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 are as mentioned below.
NPI Number:
1124062872
NPI Enumeration Date:
15 Jun, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jerry Beck Black are as mentioned below.
License Number
Specialization
State
Status
137953
Dentistry
Utah
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jerry Beck Black 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:
8913 Red Willow Cir, Sandy, Utah
Zip:
84093-1488
Phone Number:
801-255-6742
Fax Number:
801-255-5170
Patients can reach Dr. Jerry Beck Black 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 09 December, 2024.