Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROGER JON OTA, DDS
Active Sole ProprietorROGER JON OTA, DDS is a Dentist healthcare provider located in BERKELEY, California. NPI 1205948718 is currently active in the NPPES registry. Verify at CMS.
Dentist · BERKELEY, CA
Registration Details
- NPI Number
- 1205948718
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.768886823004 yrs)
- Last Updated
- Jul 8, 2007
- License
-
34752 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2020 HEARST AVEBERKELEY, CA, 947092130Browse CA providers · Browse ZIP 94709
- Phone
- 5108410662
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in BERKELEY, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MI HYUN KIM | DDS | 1699766717 |
| DR. HOSEIN S BAVAFA | DDS | 1780637835 |
| DR. DANIEL CRAIG ECKHARD | DMD | 1730190802 |
| DR. JOHN FREDERICK CONRAD | D.D.S. | 1568475036 |
| DR. BLAINE ISAMU HONDA | DDS | 1295831097 |
| MRS. HOLLY T WIEBER | DDS | 1902990203 |
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.