UME CRATER LAKE LLC NPI 1326739228

NPI Information

  • NPI: 1326739228
  • Provider Name: UME CRATER LAKE LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 1094 ROYAL CT
    MEDFORD, OR
    ZIP 97504
  • Phone: (541) 779-4344

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NPI Details

UME CRATER LAKE LLC is a dental clinic center in Medford, OR. UME CRATER LAKE LLC NPI is 1326739228. The provider is registered as an organization entity type.

The provider's business location address is:

1094 ROYAL CT
MEDFORD, OR
ZIP 97504-138
Phone: (541) 779-4344

The provider's authorized official is Sean Wasden .
The authorized official title is Coo and has the following contact phone number (208) 965-9415.

The enumeration date for this NPI number is 5/19/2023 and was last updated on 5/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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