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Individual

DR. JED WILLIAM TAUCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1150 CRATER LAKE AVE STE E, MEDFORD, OR 97504-6213
(541) 779-4517
(541) 779-4605
Mailing address
1150 CRATER LAKE AVE STE E, MEDFORD, OR 97504-6213
(541) 779-4517
(541) 779-4605

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
188
HI
122300000X
Dentist
Primary
D9771
OR

Other

Enumeration date
06/28/2012
Last updated
02/16/2026
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