Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Roger Jon OTA, DDS

Individual provider Dentist · NPI 1205948718

Roger Jon OTA, DDS is a Dentist in Berkeley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
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.

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Practice location Address checks out

2020 Hearst Ave
Berkeley, CA 94709-2130
Phone: (510) 841-0662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 34752 (CA)

Record details

NPI number1205948718
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2020 Hearst Ave, Berkeley, CA 94709-2130

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