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Brian Black, D.D.S
NPI 1457589483 · on the registry since 2009
Practice
- Address
- 1925 E 5600 S
Salt Lake City, UT 84121 - Phone
- (801) 278-0458
- Fax
- (801) 278-0460
- Organisation at this address
- Buxton Dentistry
Jerry B. Black, Dds, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-06-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah