Organization
ROGUE VALLEY DENTAL CENTER
Active
Organization
ROGUE VALLEY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH BERG (OWNER)
(541) 779-4517
Entity
Organization
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
1223G0001X
General Practice Dentistry
Primary
D4310
OR
1223G0001X
General Practice Dentistry
D4738
OR
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up