Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN BURTON JERGENSEN, DDS, MS
Active Sole ProprietorJUSTIN BURTON JERGENSEN, DDS, MS is a Orthodontics healthcare provider located in FAIRFIELD, California. NPI 1205125242 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · FAIRFIELD, CA
Registration Details
- NPI Number
- 1205125242
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2011 (15.192528772017 yrs)
- Last Updated
- Feb 11, 2015
- Licenses
-
26249 (TX)63313 (CA)63313 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1900 PENNSYLVANIA AVEFAIRFIELD, CA, 945333690Browse CA providers · Browse ZIP 94533
- Phone
- 7074223884
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Dentist
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in FAIRFIELD, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES CHANGWON CHOI | DDS | 1033194741 |
| DR. ROBERT WILLIAM ANDERSON | DDS, MSD | 1336368380 |
| DR. GEORGE JOSEPH DLOUHY JR. | DDS MS | 1063624633 |
| DR. WILLARD EMERY ZURCHER | DDS | 1063626505 |
| DR. NANCY HUYNH LE | D.D.S. | 1164702502 |
| NIOUSHA SAGHAFI | DDS, MSD | 1275994154 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.