Individual
DR. RICHARD F JERGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11 ROSSANLEY DR, MEDFORD, OR 97501-1713
(541) 973-2983
(707) 422-1702
Mailing address
2440 QUAIL RUN, B-1, MEDFORD, OR 97504-6307
(541) 973-2983
(707) 422-1702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
27771
CA
122300000X
Dentist
Primary
D9422
OR
Other
Enumeration date
07/28/2006
Last updated
12/29/2016
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