Active NPI
Tal Dean Jergensen, D.D.S.
- Dentist
- Temecula, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40621
- Practice address
- 43980 Margarita Rd Ste 101
Temecula, CA 92592-2783 - Phone
- (951) 693-9373
- Fax
- (951) 699-9337
- NPI assigned
- Aug 20, 2006
- Last updated
- Apr 7, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 40621 | CA | |
| Dentist | 122300000X | 40621 | CA | Primary |
Addresses
Primary practice location
43980 Margarita Rd Ste 101
Temecula, CA 92592-2783
Mailing address
27492 Tierra Verde Dr
Hemet, CA 92544-8480
Phone (951) 306-0620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40621 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tal D. Jergensen, DDS Inc | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
550 E Latham Ave
Ste 3
Hemet, CA 92543
Phone (951) 693-9373
43980 Margarita Rd
Ste 101
Temecula, CA 92592
Phone (951) 331-3237
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Miles of Smiles Orthodontics
- Dental Clinic/Center
- Temecula, CA
- NPI 1477287126
Orthodontics and Dentofacial Orthopedics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1285749168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27492 TIERRA VERDE DR",
"city": "HEMET",
"state": "CA",
"postal_code": "925448480",
"telephone_number": "951-306-0620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43980 MARGARITA RD STE 101",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925922783",
"telephone_number": "951-693-9373",
"fax_number": "951-699-9337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERGENSEN",
"first_name": "TAL",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "40621",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "40621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
- Jeremy Gomer MD Specialty Corporation
- Jeremy Jay Sewell DMD PC
- Jeremy V Gomer MD PHD Professional Medical Corporation (Virtue Primary Care)
- Suezanne Jerez, LCSW
- Nathan Jergensen, D.M.D.
- Jerry Hernandez DDS Inc
- Aruno Nakhro Jerskey, FNP
- Jessmi Eyewear Company
- Jill R Diamond de Porras Licensed Marriage and Family Therapist, Inc.
- Albert Jimenez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.