Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin Burton Jergensen, DDS, MS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1205125242

Justin Burton Jergensen, DDS, MS is an Orthodontics and Dentofacial Orthopedics Dentistry in Fairfield, California. Practices as a sole proprietor. Licensed in California and Texas.

Licensed in
CA, TX
In the registry since
2011
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1900 Pennsylvania Ave
Fairfield, CA 94533-3690
Phone: (707) 422-3884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 26249 (TX)
Dentist Taxonomy 122300000X · Licence 63313 (CA)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 63313 (CA)

Record details

NPI number1205125242
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorYes
NPI enumeratedMarch 30, 2011
Last updated in NPPESFebruary 11, 2015

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