DR. JERRY BECK BLACK (D.D.S.) – Dentist, NPI 1124062872

DR. JERRY BECK BLACK (D.D.S.) is a healthcare provider. based in Salt lake city, Utah. specializing in Dentist. They hold the professional credentials D.D.S.. They hold a License No. 137953 (UT). The NPI Number for DR. JERRY BECK BLACK (D.D.S.) is 1124062872

Main info

Male
Name
DR. JERRY BECK BLACK (D.D.S.)
NPI
1124062872
Phone
(801) 278-0458
Address
1925 E 5600 S
Enumeration Date
15 June 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. JERRY BECK BLACK (D.D.S.)

  • 1925 E 5600 S

    SALT LAKE CITY, UT 841211351

    Phone: (801) 278-0458

    Fax: (801) 278-0460

    Type: Location

  • 8913, Red Willow Circle, Montana Ranchos, Sandy, Salt Lake County, Utah, 84093, United States

    SANDY, UT 840931488

    Phone: (801) 255-6742

    Fax: (801) 255-5170

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84121)

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Reviews

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Frequently asked questions

Is DR. JERRY BECK BLACK (D.D.S.) listed with a National Provider Identifier?
Yes — DR. JERRY BECK BLACK (D.D.S.) has NPI 1124062872 on file in the registry.
Active or inactive — what applies to DR. JERRY BECK BLACK (D.D.S.)?
You should see DR. JERRY BECK BLACK (D.D.S.) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. JERRY BECK BLACK (D.D.S.)?
DR. JERRY BECK BLACK (D.D.S.)'s specialty line reads Dentist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JERRY BECK BLACK (D.D.S.)?
Travel planning: use Salt Lake City, Utah as the reference point for DR. JERRY BECK BLACK (D.D.S.), then confirm.
Does DR. JERRY BECK BLACK (D.D.S.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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