IndividualActive
Jerry Black, D.D.S.
NPI 1124062872 · Dentist · Salt Lake City, UT
Jerry Black, D.D.S. is a Dentist provider in Salt Lake City, UT (NPI 1124062872).
Provider details
- NPI number
- 1124062872
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- License
- 137953 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1925 E 5600 S
Salt Lake City, UT 84121-1351
Phone: (801) 278-0458
Fax: (801) 278-0460
Street-level locationGet directions
Mailing address
8913 Red Willow Cir
Sandy, UT 84093-1488
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jerry Black's NPI number?
- Jerry Black's National Provider Identifier (NPI) is 1124062872, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Black's specialty?
- Jerry Black is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jerry Black located?
- Jerry Black's practice location on file with NPPES is 1925 E 5600 S, Salt Lake City, UT 84121-1351.
- What is Jerry Black's phone number?
- The practice phone number listed in the NPPES registry for Jerry Black is (801) 278-0458.
- Is Jerry Black's NPI active?
- Yes — Jerry Black's NPI (1124062872) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.