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

Dr. Roger William Black, DDS

Individual provider Dentist · NPI 1104806389

Dr. Roger William Black, DDS is a Dentist in Berkley, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
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

28969 Woodward Ave
Berkley, MI 48072-0916
Phone: (248) 398-5545
Fax: (248) 398-6153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 10634 (MI)

Record details

NPI number1104806389
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 22, 2006
Last updated in NPPESJuly 13, 2026

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