Jerry B. Black, Dds, Pc - Salt Lake City, UT

Jerry B. Black, Dds, Pc

General Practice Dentistry in Salt Lake City, Utah

NPI 1487696704

Jerry B. Black, Dds, Pc is a General Practice Dentistry based in Sandy, UT and is specialized in General Practice. Jerry B. Black, Dds, Pc practices in Salt Lake City, UT. The NPI Number for Jerry B. Black, Dds, Pc is 1487696704 and holds a License No. 137953 (Utah).

The current practice location address for Jerry B. Black, Dds, Pc is 1925 E 5600 S, Salt Lake City, UT and can be reached out via phone at 801-278-0458 and via fax at 801-278-0460.

Location: 1925 E 5600 S, Salt Lake City, UT, 84093-1488

NPI Number

1487696704

Provider Name

Jerry B. Black, Dds, Pc

Credential

Provider Entity Type

Organization

Address

1925 E 5600 S, Salt Lake City, UT, 84093-1488

Phone Number

801-278-0458

Fax Number

801-278-0460

Provider Enumeration Date

06/12/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
4671	01	UT	PEHP

Address

1925 E 5600 S

City

Salt Lake City

State

Utah

Zip

84121-1351

Phone Number

801-278-0458

Fax Number

801-278-0460

Address

1925 E 5600 S

City

Salt Lake City

State

Utah

Zip

84121-1351

Phone Number

801-278-0458

Fax Number

801-278-0460

Type

Dental Providers

Classification

Dentist

Speciality

General Practice

Taxonomy

1223G0001X

License No.

137953 (Utah)

Definition

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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