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

Dr. Jerry Beck Black, DDS

Individual provider Dentist · NPI 1124062872

Dr. Jerry Beck Black, DDS is a Dentist 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?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

1925 E 5600 S
Salt Lake City, UT 84121-1351
Phone: (801) 278-0458
Fax: (801) 278-0460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 137953 (UT)

Record details

NPI number1124062872
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESJuly 13, 2026
Mailing address8913 Red Willow Cir, Sandy, UT 84093-1488

Other providers in Salt Lake City