Richard F. Jergensen, DDS

Dentist · Medford, OR

Individual Active NPI

NPI number 1063426518

Practice location

11 Rossanley Dr
Medford, OR 97501-1713
Phone
(541) 973-2983
Fax
(707) 422-1702

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NPI record

NPI
1063426518
Entity type
Individual (Type 1)
Enumeration date
July 28, 2006
Last updated
December 29, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D9422 OR
Dentist 122300000X 27771 CA

Mailing address

2440 Quail Run
B-1
Medford, OR 97504-6307
Phone
(541) 973-2983
Fax
(707) 422-1702

About Dr. Jergensen

Richard F. Jergensen, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 11 Rossanley Dr, Medford, OR 97501-1713. The NPI number 1063426518 was assigned on July 28, 2006 and the record was last updated on December 29, 2016.

Dr. Jergensen lists 2 licenses in the registry: #D9422 (OR) for Dentist; #27771 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Richard F. Jergensen, DDS?

The NPI number is 1063426518.

What is the phone number of Dr. Jergensen?

The phone number listed for the practice location is (541) 973-2983.

Where is Dr. Jergensen located?

11 Rossanley Dr, Medford, OR 97501-1713.

What is the taxonomy code for Dr. Jergensen?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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