Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerry B. Black, DDS, PC

Organization General Practice Dentistry · NPI 1487696704

Jerry B. Black, DDS, PC is a General Practice Dentistry in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1925 E 5600 S
Salt Lake City, UT 84121-1351
Phone: (801) 278-0458
Fax: (801) 278-0460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 137953 (UT)

Record details

NPI number1487696704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Black — President · (801) 278-0458
NPI enumeratedJune 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address8913 Red Willow Cir, Sandy, UT 84093-1488

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