Individual provider · Type 1 NPI

Roger William Black, DDS

Dentist · Berkley, MI

NPI number 1104806389 Active

Practice location

28969 Woodward Ave
Berkley, MI 48072-0916

Fax (248) 398-6153

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X10634 (MI)

Dentist: 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1104806389

Roger William Black, DDS's National Provider Identifier is 1104806389, issued on Jan 22, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Berkley, MI. The record was last updated on Jul 13, 2026.