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

Jhared Black, DMD

Individual provider General Practice Dentistry · NPI 1578017505

Jhared Black, DMD is a General Practice Dentistry in Matteson, Illinois. Practices as a sole proprietor. Licensed in Illinois and Indiana.

Licensed in
IL, IN
In the registry since
2016
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

135 Henson Ct
Matteson, IL 60443-3012
Phone: (708) 743-9685
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019030918 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12013820A (IN)

Record details

NPI number1578017505
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 8, 2016
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address3677 Sauk Trl, Richton Park, IL 60471-1461

Other providers in Matteson