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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ROGER WILLIAM BLACK D.D.S.
NPI 1104806389
Dentist in Berkley, MI

Active since January 22, 2006
28969 WOODWARD AVE, BERKLEY, MI 48072(248) 398-5545(248) 398-6153 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Roger William Black D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROGER WILLIAM BLACK D.D.S. (NPI 1104806389) is an individual dentist in Berkley, Michigan, licensed in Michigan (10634) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1104806389
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ROGER WILLIAM BLACKCredential: D.D.S.
Location Address28969 WOODWARD AVEBerkley, MI 48072-0916
Mailing Address28969 Woodward AveBerkley, MI 48072-0916 · (248) 398-5545 · Fax (248) 398-6153
Phone(248) 398-5545
Fax(248) 398-6153
Sole ProprietorNo
Enumeration DateJanuary 22, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1104806389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 10634
Definition
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.
28969 WOODWARD AVE, Berkley, MI 48072
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER JAMES DOLLAR DDS
Dentist
28969 WOODWARD AVE
BERKLEY, MI 48072
Oakland County (248) 398-5545
DR. CHRISTOPHER J. DOLLAR, DDS, PLLC
Clinic/Center (Dental)
28969 WOODWARD AVE
BERKLEY, MI 48072
Oakland County (248) 398-5545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roger Black's NPI number?

The NPI number for Roger Black is 1104806389. It was assigned to this individual provider in the NPPES registry on January 22, 2006.

Where is Roger Black located?

Roger Black practices at 28969 Woodward Ave, Berkley, MI 48072. The listed phone number is (248) 398-5545.

What is Roger Black's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Roger Black was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.