OrganizationActive
Blackstone Dental PLLC
NPI 1700209699 · Dentist · Salt Lake City, UT
Provider details
- NPI number
- 1700209699
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Brian Black, Owner(801) 278-0458
- License
- 7386388-9922 (UT)
Specialties & taxonomies
Dental Providers
Practice location
6710 S Blackstone Rd
Salt Lake City, UT 84121-6072
Phone: (801) 278-0458
Fax: (801) 278-0460
Approximate (ZIP-level) locationGet directions
Mailing address
6710 S Blackstone Rd
Salt Lake City, UT 84121-6072
Registry dates
- Enumerated
- 2014-01-28
- Last updated
- 2014-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.