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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JERRY BECK BLACK D.D.S.
NPI 1124062872
Dentist in Salt Lake City, UT

Active since June 15, 2006
1925 E 5600 S, SALT LAKE CITY, UT 84121(801) 278-0458(801) 278-0460 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerry Beck Black D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY BECK BLACK D.D.S. (NPI 1124062872) is an individual dentist in Salt Lake City, Utah, licensed in Utah (137953) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1124062872
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JERRY BECK BLACKCredential: D.D.S.
Location Address1925 E 5600 SSalt Lake City, UT 84121-1351
Mailing Address8913 Red Willow CirSandy, UT 84093-1488 · (801) 255-6742 · Fax (801) 255-5170
Phone(801) 278-0458
Fax(801) 278-0460
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1124062872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in UT · 137953
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1925 E 5600 S, Salt Lake City, UT 84121
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Other Identifiers 1

Other4671UT · Pehp

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN JERRY BLACK D.D.S.
Dentist (General Practice)
1925 E 5600 S
SALT LAKE CITY, UT 84121
Salt Lake County (801) 278-0458
JERRY B. BLACK, DDS, PC
Dentist (General Practice)
1925 E 5600 S
SALT LAKE CITY, UT 84121
Salt Lake County (801) 278-0458
DR. WILLIAM PERTTI SUNDBERG DDS
Dentist
1925 E 5600 S
HOLLADAY, UT 84121
Salt Lake County (801) 278-0458
BUXTON DENTISTRY
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1925 E 5600 S
SALT LAKE CITY, UT 84121
Salt Lake County (801) 278-3214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Black's NPI number?

The NPI number for Jerry Black is 1124062872. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Jerry Black located?

Jerry Black practices at 1925 E 5600 S, Salt Lake City, UT 84121. The listed phone number is (801) 278-0458.

What is Jerry Black's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jerry Black was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.