JERRY B. BLACK, DDS, PC is a general practice dentist in Salt Lake City, UT. The provider is 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. JERRY B. BLACK, DDS, PC NPI is 1487696704. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1925 E 5600 S
SALT LAKE CITY, UT
ZIP 84121-351
Phone: (801) 278-0458
Fax: (801) 278-0460
The provider's authorized official is Jerry Beck Black .
The authorized official title is President and has the following contact phone number (801) 278-0458.
The enumeration date for this NPI number is 6/12/2006 and was last updated on 8/22/2020.