Roger Jon Ota is a Dentist in Berkeley, California. Roger Jon Ota practices all healthcare services and medical treatments related to Dentist. The NPI Number for Roger Jon Ota is 1205948718. The last update date is 2007-07-08.
Roger Jon Ota's current location address is 2020 Hearst Ave, Berkeley, California. You can contact this provider via phone number 5108410662. The mailing address for Roger Jon Ota is 2020 Hearst Ave, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Roger Jon Ota |
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Address | 2020 Hearst Ave, Berkeley, California |
Phone Number | 5108410662 |
Fax Number | |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1205948718 |
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Provider Enumeration Date | 2006-08-31 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2020 Hearst Ave |
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City | Berkeley |
State | California (CA) |
Post Code | 947092130 |
Phone Number | 5108410662 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 34752 |
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: denti |
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What is the unique provider identifier assigned to Roger Jon Ota?
The Roger Jon Ota has been issued the NPI (National Provider Identifier) 1205948718 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Roger Jon Ota?
The Roger Jon Ota is physically situated at 2020 Hearst Ave, in the city of Berkeley, state of CA, with the postal code 947092130.
What is Roger Jon Ota's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Roger Jon Ota is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date was the 1205948718 assigned to Roger Jon Ota?
The Roger Jon Ota was issued its 1205948718 on 2006-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Roger Jon Ota's information last updated?
The Roger Jon Ota's information was last updated on 2007-07-08.