Search › California › 1223X0400X
Justin Jergensen, DDS, MS
NPI 1205125242 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1900 Pennsylvania Ave
Fairfield, CA 94533 - Phone
- (707) 422-3884
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Also registered as
- 122300000X
1223X0400X - Licence states on file
- TX, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-02-11
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 California