What is Roger Black's NPI number?

Roger Black's National Provider Identifier (NPI) is 1104806389, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Roger Black's specialty?

Roger Black is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Roger Black located?

Roger Black's practice location on file with NPPES is 28969 Woodward Ave, Berkley, MI 48072-0916.

What is Roger Black's phone number?

The practice phone number listed in the NPPES registry for Roger Black is (248) 398-5545.

Is Roger Black's NPI active?

Yes — Roger Black's NPI (1104806389) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Roger Black, D.D.S.

NPI 1104806389 · Dentist · Berkley, MI

Roger Black, D.D.S. is a Dentist provider in Berkley, MI (NPI 1104806389).

Provider details

NPI number: 1104806389
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: D.D.S.
Sex: Male
License: 10634 (MI)

Specialties & taxonomies

DentistPrimary122300000XLicense 10634 (MI)
Dental Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

28969 Woodward Ave

Berkley, MI 48072-0916

Phone: (248) 398-5545

Fax: (248) 398-6153

Street-level locationGet directions

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Mailing address