DR. JERRY BLACK, D.D.S.
Dentist
Active
Individual
NPI: 1124062872
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 137953 (UT) |
Frequently Asked Questions
NPI 1124062872 is the National Provider Identifier for DR. JERRY BLACK, D.D.S., a Dentist provider located in Salt Lake City, UT. This NPI was enumerated on June 15, 2006.
DR. JERRY BLACK, D.D.S. practices at 1925 E 5600 S, Salt Lake City, UT 84121.
Quick Facts
- NPI
- 1124062872
- Type
- Individual
- Enumerated
- Jun 15, 2006
- Last Updated
- Jul 8, 2007
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