Doctor profile · Federal record
Dr. Justin Jergensen, DDS, MS
Orthodontics and Dentofacial Orthopedic Dentist · Dentist · Orthodontics and Dentofacial Orthopedic Dentist · Fairfield, CA
- NPI 1205125242
- 15 yrs on file
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1900 Pennsylvania Ave
Fairfield, CA 945333690
(707) 422-3884 - Mailing address
-
1107 Kent Dr
Davis, CA 956160934
Credentials & registration
- NPI registered
- March 2011 — 15 yrs on file
- Profile last updated
- February 11, 2015
- Specialty taxonomy
- 1223X0400X — NUCC code
- State licenses (2)
- Texas #26249 · California #63313
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205125242. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$313
Transactions
5
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products Inc | 3 | $183.86 | |
| Align Technology, Inc. | 1 | $75.00 | |
| Septodont Inc. | 1 | $54.09 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
32
Patients
23
Total drug cost
$216
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 32 | 23 | $216 |
Frequently asked questions
What is Dr. Justin Jergensen's medical specialty?
Dr. Justin Jergensen practices Orthodontics and Dentofacial Orthopedic Dentist in Fairfield, CA.
Where does Dr. Justin Jergensen practice?
Dr. Justin Jergensen practices at 1900 Pennsylvania Ave, Fairfield, CA 945333690. Office phone: 7074223884.
What is Dr. Justin Jergensen's NPI?
Dr. Justin Jergensen's National Provider Identifier (NPI) is 1205125242, issued by NPPES.