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SUMMIT FAMILY DENTAL CARE PC
NPI 1114261104
Dentist - General Practice in Medford, OR

Active since November 15, 2012
906 ROYAL CT, MEDFORD, OR 97504(541) 779-2636(541) 779-3282 Get Directions Write a Review

NPPES record last updated: November 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Summit Family Dental Care Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT FAMILY DENTAL CARE PC (NPI 1114261104) is a healthcare organization registered as a general practice in Medford, Oregon and active in the NPI registry since November 2012. The organization lists Nicole Lee Keck-erickson, Dentist, as its authorized official.

NPPES Registry Identity

NPI1114261104
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSUMMIT FAMILY DENTAL CARE PC
Location Address906 ROYAL CTMedford, OR 97504-6139
Mailing Address906 Royal CtMedford, OR 97504-6139 · (541) 779-2636 · Fax (541) 779-3282
Phone(541) 779-2636
Fax(541) 779-3282
Organization SubpartNo
Authorized OfficialNicole Lee Keck-ericksonDentist · (541) 779-2634
Enumeration DateNovember 15, 2012
Last NPPES UpdateNovember 19, 2012
✔ NPI 1114261104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in OR · D9139✔ Licensed in OR · D9158
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
906 ROYAL CT, Medford, OR 97504
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROGUE COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
906 ROYAL CT
MEDFORD, OR 97504
Jackson County (541) 414-0519
NECIA E EGAN RDH
Dental Hygienist
906 ROYAL CT
MEDFORD, OR 97504
Jackson County (541) 414-0519
RACHEL ELIZABETH BRYANT DT
Denturist
906 ROYAL CT
MEDFORD, OR 97504
Jackson County (541) 414-0519
JEREMY CLAASSEN DDS
Dentist (Dental Public Health)
906 ROYAL CT
MEDFORD, OR 97504
Jackson County (541) 414-0519
ERIN ROSE DDS
Dentist (Dental Public Health)
906 ROYAL CT
MEDFORD, OR 97504
Jackson County (541) 414-0519
SHANTELL E DENDAUW RDH
Dental Hygienist
906 ROYAL CT
MEDFORD, OR 97504
Jackson County (541) 500-0959
DR. NICOLE LEE KECK-ERICKSON D.M.D.
Dentist
906 ROYAL CT
MEDFORD, OR 97504
Jackson County (541) 779-2634
LAUREN SMITH
Dentist (General Practice)
906 ROYAL CT
MEDFORD, OR 97504
Jackson County (541) 414-0519

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Family Dental Care PC's NPI number?

The NPI number for Summit Family Dental Care PC is 1114261104. It was assigned to this organization in the NPPES registry on November 15, 2012.

Where is Summit Family Dental Care PC located?

Summit Family Dental Care PC is located at 906 Royal Ct, Medford, OR 97504. The listed phone number is (541) 779-2636.

What is Summit Family Dental Care PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Summit Family Dental Care PC was last updated on November 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.