JERRY B. BLACK, DDS, PC – General Practice Dentistry, NPI 1487696704

JERRY B. BLACK, DDS, PC is a healthcare provider. based in Sandy, Utah. specializing in General Practice Dentistry. The organization holds a License No. 137953 (UT). The NPI Number for JERRY B. BLACK, DDS, PC is 1487696704

Main info

Organization
Name
JERRY B. BLACK, DDS, PC
NPI
1487696704
Phone
(801) 255-6742
Address
8913 RED WILLOW CIR
Authorized Official
DR. JERRY BECK BLACK PRESIDENT D.D.S.
Enumeration Date
12 June 2006
Last Update Date
22 August 2020
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 JERRY B. BLACK, DDS, PC

  • 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

  • 1925 E 5600 S

    SALT LAKE CITY, UT 841211351

    Phone: (801) 278-0458

    Fax: (801) 278-0460

    Type: Location

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

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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 84093)

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Reviews

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Frequently asked questions

How do payers reference JERRY B. BLACK, DDS, PC?
For JERRY B. BLACK, DDS, PC, use NPI 1487696704 as the unique 10-digit identifier.
Is JERRY B. BLACK, DDS, PC still an active registrant?
JERRY B. BLACK, DDS, PC carries an active NPI according to the public dataset.
How would a patient describe JERRY B. BLACK, DDS, PC's focus?
For JERRY B. BLACK, DDS, PC, the primary taxonomy reads as General Practice Dentistry. Clinical services aligned with this taxonomy classification.
What locale is associated with JERRY B. BLACK, DDS, PC?
Directory geography for JERRY B. BLACK, DDS, PC centers on Sandy, Utah.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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