Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578017505 Individual Practitioner Male Practitioner

Dr. Jhared Black , DMD

Dentist • Matteson, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Jhared Black, DMD is a registered healthcare professional specializing in Dentist in Matteson, IL. Official NPI practice address is registered at 135 HENSON CT.

Practice Location & Contact Primary Location

Practice Address

135 Henson Ct

Matteson, IL 604433012

Telephone 7087439685
Associated Practice Facility / Clinic
🏢 The Smile In You Facility NPI 1548423395

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Matteson, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Matteson, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-02
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019030918

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IN 12013820A

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 02, 2025

Registered at 135 HENSON CT, MATTESON, IL 604433012 (Tel: 7087439685)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2025

Dentist (License #12013820A in IN)

NPI Profile Active October 31, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 31, 2016

Registered at 3677 SAUK TRL, RICHTON PARK, IL 604711461 (Tel: 7084812288)

📍
Updated Business Mailing Address October 31, 2016

Registered at 3677 SAUK TRL, RICHTON PARK, IL 604711461 (Tel: 7084812288)

👤
Provider Name / Credentials Updated October 31, 2016

Recorded as JHARED BLACK, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2016

Dentist (License #019030918 in IL)

🟢
Initial NPI Registration & Enumeration August 08, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578017505
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2016
Last Update: July 02, 2025
Sole Proprietor: Yes

Mailing Address

3677 Sauk Trl

Richton Park, IL 604711461

Phone: 7084812288

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.