JERRY B. BLACK, DDS, PC
Dentist - General Practice
Active
Organization
NPI: 1487696704
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 137953 (UT) |
Frequently Asked Questions
NPI 1487696704 is the National Provider Identifier for JERRY B. BLACK, DDS, PC, a Dentist - General Practice provider located in Salt Lake City, UT. This NPI was enumerated on June 12, 2006.
Quick Facts
- NPI
- 1487696704
- Type
- Organization
- Enumerated
- Jun 12, 2006
- Last Updated
- Aug 22, 2020
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