JUSTIN BURTON JERGENSEN DDS, MS
NPI 1205125242
Dentist - Orthodontics and Dentofacial Orthopedics in Fairfield, CA

Active since March 30, 2011
1900 PENNSYLVANIA AVE, FAIRFIELD, CA 94533(707) 422-3884 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin Burton Jergensen Dds, Ms NPPES

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

JUSTIN BURTON JERGENSEN DDS, MS (NPI 1205125242) is an individual orthodontics and dentofacial orthopedics provider in Fairfield, California, licensed in Texas (26249) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1205125242
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameJUSTIN BURTON JERGENSENCredential: DDS, MS
Location Address1900 PENNSYLVANIA AVEFairfield, CA 94533-3690
Mailing Address1107 Kent DrDavis, CA 95616-0934 · (415) 407-1827
Sole ProprietorYes
Enumeration DateMarch 30, 2011
Last NPPES UpdateFebruary 11, 2015
NPI 1205125242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in TX · 26249 Licensed in CA · 63313
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License 63313 (CA)
1900 PENNSYLVANIA AVE, Fairfield, CA 94533

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Dentist (Orthodontics and Dentofacial Orthopedics)
1900 PENNSYLVANIA AVE
FAIRFIELD, CA 94533
Dentist
1900 PENNSYLVANIA AVE
FAIRFIELD, CA 94533
Dentist (General Practice)
1900 PENNSYLVANIA AVE, SUITE B-2
FAIRFIELD, CA 94533
Dentist (General Practice)
1900 PENNSYLVANIA AVE, B2
FAIRFIELD, CA 94533
Dentist
1900 PENNSYLVANIA AVE
FAIRFIELD, CA 94533

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 Justin Jergensen's NPI number?

The NPI number for Justin Jergensen is 1205125242. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Where is Justin Jergensen located?

Justin Jergensen practices at 1900 Pennsylvania Ave, Fairfield, CA 94533. The listed phone number is (707) 422-3884.

What is Justin Jergensen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Justin Jergensen accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Justin Jergensen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Jergensen was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.