Jerry B. Black, D.D.S.
General Dentistry · Salt Lake City, UT
UnclaimedD.D.S.NPI 1124062872
- Primary taxonomy
- 122300000X
- Enumerated
- 2006-06-15
- Practice location
- Salt Lake City, UT
- Last NPPES update
- 2026-07-13
State licenses
- UT · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.