| Brian Jerry Black, DDS | |
|
1925 E 5600 S, Salt Lake City, UT 84121-1351 | |
| (801) 278-0458 | |
| (801) 278-0460 |
| Full Name | Brian Jerry Black |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1925 E 5600 S, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457589483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7386388-9922 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Jerry Black, DDS 1925 E 5600 S, Salt Lake City, UT 84121-1351 Ph: (801) 278-0458 | Brian Jerry Black, DDS 1925 E 5600 S, Salt Lake City, UT 84121-1351 Ph: (801) 278-0458 |
Dr. Adam Richard Van Leeuwen, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6936 South 2475 East, 201, Salt Lake City, UT 84121 Phone: 801-943-1612 Fax: 801-942-6008 | |
Robert Kellen Mcwhorter, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 440 W 200 S Ste 275, Salt Lake City, UT 84101 Phone: 801-358-8175 | |
Victor O Pickett, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5255 S 4015 W, Suite 180, Salt Lake City, UT 84118 Phone: 801-968-9003 | |
Kelly D Carroll, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2114 Fort Union Blvd, Salt Lake City, UT 84121 Phone: 801-943-2020 | |
Dr. Oscar Daniel Bluth, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 S 1000 E, Suite L-2 West, Salt Lake City, UT 84102 Phone: 801-370-0050 | |
Dr. Michael Reed Slater, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-584-1206 | |
Nielson Kirk Ashton, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2180 E 4500 S Ste 250, Salt Lake City, UT 84117 Phone: 801-272-8609 |